v-^ 


MANUAL 


FOR  THE 


MEDICAL  DEPARTMENT 


UNITED  STATES  ARMY 


1916 


CORRECTED  TO  APRIL  15,  1917 
(Changes,  Nos.  1  and  2) 


WASHINGTON 

GOVERNMENT  PRINTING  OFFICE 

1917 


U  ti 


c^^^ 


WAR  DEPARTMENT, 
Document  No.  504 

Office  of  the  Surgeon  General, 


War  Department, 
Office  of  the  Chief  of  Staff, 

Washington,  D.  C,  February  10,  1916. 

This  Manual  is  published  for  the  information  and  government  of  the  Regular  Army 

and  Organized  MiUtia  of  the  United  States. 

By  order  of  the  Secretary  of  Wax: 

H.  L.  Scott, 

Major  General,  Chief  of  Staff. 


The  regulations  in  this  Manual  are  only  a  part  of  the  general  body  of  regulations 
with  which  the  medical  officer  must  acquaint  himself.  For  regulations  general  in 
nature,  or  wliich  affect  other  branches  of  the  service,  he  should  consult  the  Army 
Regulations  properly  so  called.  In  addition  special  reference  is  necessary,  for  pre- 
cise information  on  the  subjects  with  which  they  deal,  to  the  manuals  for  the  other 
staff  departments,  to  the  Drill  Regulations  and  Service  Manual  for  Sanitary  Troops, 
to  the  Field  Service  Regulations,  to  the  Tables  of  Organization,  to  the  Manual  for 
Courts-Martial,  to  the  Amiy  Transport  Service  Regulations,  to  the  Manual  of  Pack 
Transportation,  to  the  Regulations  of  the  War  Department  Governing  the  Organized 
Mihtia,  to  the  Regulations  for  the  United  States  MiUtary  Academy,  to  the  Small  Arms 
Firing  Regulations,  to  the  Manual  of  Interior  Guard  Duty,  to  the  Regulations  for  the 
Unifonn  of  the  United  States  Army,  to  the  Rules  of  Land  Warfare,  etc.  Regulations 
for  the  Examination  of  Officers  for  Promotion,  Post  Exchange  Regulations,  Rules  for 
the  Examination  of  Recruits,  Regulations  Regarding  the  Examination  and  Appoint- 
ment of  Persons  in  Ci-vil  Life  to  be  Second  Lieutenants  in  the  Army,  etc.,  are  pub- 
lished in  general  orders  from  time  to  time.  An  index  reference  to  these  and  other 
general  orders  of  interest  to  the  medical  officer  will  be  found  in  the  appendix  to  this 
Manual. 

3 


•:!(;g914 


TABLE  OF  CONTENTS. 


Part  I. — General  Medical  Administration. 

Par. 

Article  I. — The  Medical  Department,  its  organization  and  -personnel 1-130 

Organization 1 

Medical  Corps 2-13 

Medical  Reserve  Corps 14-19 

Dental  Corps 20-32 

Hospital  Corps 33-50 

Contract  surgeons 51-55 

Nurse  Corps 56-102 

Civilian  employees 103-130 

Article  II . — Education  and  training 131-181 

Library,  Surgeon  General's  Office 132-133 

Army  Medical  Museum 134-135 

Army  Medical  School 136-146 

The  Army  Field  Service  and  Correspondence  School  for  Medical  Officers.  147 

Field  problems  for  medical  officers 148-153 

Instruction  in  hygiene , 154 

Instruction  in  first  aid 155 

Training  of  the  Hospital  Corps,  general 156 

Field  hospitals  and  ambulance  companies 157-166 

Hospital  Corps  detachments 167-180 

Instruction  in  the  field 181 

Article  111  .—Sanitation 182-203 

Infectious  diseases 183-200 

Reports  of  epidemic  diseases 201-203 

Article  IV. — Hospitals  and  medical  attendance 204r-350 

Service  of  hospitals,  general 205-279 

Post  hospitals 280-281 

Department  hospitals 282 

General  hospitals 283-316 

Army  and  Navy  General  Hospital 317-333 

General  Hospital,  Fort  Bayard,  N.  Mex 334-344 

Medical  attendance 345-350 

Article  V. — Department  laboratories 351-360 

Secretions,  excretions,  and  tissues 352-355 

Water 356-360 

Article  VI. — Duties  of  medical  officers 361-381 

General 361-363 

Department  surgeons 364-370 

Department  sanitary  inspectors 371-374 

Attending  surgeons 375-376 

Disbursing  officers 377-379 

Medical  supply  officers 380 

Medical  officers  of  the  transport  service 381 

6 


6  TABLE    OF    CONTENTS. 

Par. 

Article  Vil  —  Phybicul  examine tinns 382-397 

Cadet  candidates  and  cadets 382-383 

Candidates  for  commission 384-385 

Officers — Examinations  for  promotion,  retirement,  leave  of  absence,  the 

aviation  service,  and  annual  examinations 386-390 

Applicants  for  enlistment 391 

Enlisted  men — Recruits,  deserters,  for  discharge,  for  aviation  service. . .   392-395 

Other  examinations 396 

Vision,  color  sense,  and  hearing 397 

Article  VIII. — Records,  reports,  and  returns 398-473 

List  of  reports  and  returjis 398 

List  of  records 399 

Mode  of  keeping  and  authenticating  reports,  returns,  and  records 400 

Reports  of  births  and  deaths 401 

Correspondence  records 402-406 

Clinical  records 407-411 

Medical  history  of  post 412 

Reports  pertaining  to  personnel 413 

Sanitary  reports 414-417 

Surgical  reports 418-420 

Special  reports  and  articles  for  publication 421-423 

Report  of  Medical  Department  passengers  on  transports 424 

Reports  and  records  on  abandonment  of  posts 425 

Disposition  of  old  records 426 

Register  and  report  of  sick  and  wounded 427-464 

Register  of  dental  patients  and  report  of  dental  work 465-473 

Article  IX. — Supplies  and  materials 474-527 

General  provisions 474-476 

Requisitions 477-495 

Transfer  of  medical  supplies 496-500 

Accountability 501-503 

Distribution  of  field  medical  supplies  in  time  of  peace 504-506 

Returns  of  medical  property 507-508 

Sales -•■-•-  509-510 

Disposition  of  medical  property  on  abandonment  of  posts 511 

Use  and  care  of  medical  property 512-526 

Meteorological  instruments 527 

Part  II. — The  Sanitary  Service  in  War. 

Article  X. — The  sanitary  service  in  war—General 528-586 

Administrative  zones 528-529 

Objects  of  Medical  Department  administration 530 

Duties  of  the  Medical  Department "I'-'h'  I' ^^^ 

Personnel  of  the  sanitary  service 532-533 

Titles  of  medical  officers 534 

Organized  voluntary  aid 535-536 

Individual  voluntary  aid 537-541 

Insignia  of  sanitary  personnel,  formations,  and  materiel 542-546 

Status  of  sanitary  personnel  and  materiel 547-549 

Guards  for  the  sanitary  service 550 

Medical  supplies 551-555 

Correspondence,  reports,  returns,  and  records 556-584 

Organization  of  the  Medical  Department  in  war 585-586 


TABLE    OF    CONTENTi=?.  7 

Par. 

Article  XI. — The  service  of  the  interior 587-626 

General - 587-591 

Mobilization  camps 592-597 

Concentration  camps 598-601 

Camp'hospitals 602-605 

General  hospitals 606 

Convalescent  camps 607-608 

Hospitals,  ports  of  embarkation 609 

Surgeons,  ports  of  embarkation 610 

Hospitals  for  prisoners  of  war 611 

Medical  supply  depots 612 

Hospital  trains  and  trains  for  patients 613-617 

Rest  stations 618 

Hospital  ships  and  ships  for  patients 619-625 

Sanitary  inspectors 626 

Article  XII. — The  theater  of  operations — General 627-629 

Requirements  for  an  efficient  sanitary  service 627-629 

Article  Xlll.—  The  zone  of  the  advance 630-750 

Classification  of  the  sanitary  service 630 

Sanitary  troops  on  duty  with  line  organizations 631-650 

The  sanitary  train 651-715 

The  administration  of  the  sanitary  service  of  the  division 716-750 

Article  XIV. — The.  line  of  communications 751-827 

General 751-756 

The  base  hospital 757-765 

The  convalescent  camp 766 

The  contagious  disease  hospital 767-768 

Trains,  boats,  and  ships 769-772 

Casual  camps  for  sanitary  troops 773 

Sanitary  squads 774-777 

Field  laboratories 778-779 

Rest  stations 780-781 

The  base  medical  supply  depot 782-786 

The  advance  medical  supply  depot 787-792 

The  evacuation  hospital 793-803 

The  evacuation  ambulance  company 804-812 

Administration 813-827 

Article  XV. — Administration  of  the  sanitary  service  of  the  theater  of  operations. .  828-830 
The  chief  surgeon  of  a  field  army 828-830 

Article  XVI. — Resume  of  the  operations  of  the  sanitary  service  in  uw 831-841 

Part  III. — Supply  Tables. 

Article  XVII. — Post  supply  tables 842-848 

Medicines,  antiseptics,  and  disinfectants 843 

Stationery 844 

Miscellaneous  supplies 845 

Laboratory  supplies 846 

Identification  supplies 847 

X-ray  supplies 848 

Article  XVIII. — Dental  supply  tables 849-856 

Portable  outfit 854 

Base  outfit 855 

Additional  supplies •  •  856 


8  TABLE    OF   CONTENTS. 

Par. 

Article  XIX. — Field  supply  tables 857-901 

Individual  equipment,  medical  officer 864 

Individual  equipment,  Hospital  Corps 865 

Regimental  ccmbat  equipment 866-868 

Camp  infirmary •. .  869-870 

Camp  infirmary  reserve 871 

Regimental  hospital 872 

Weight  carried  by  camp  infirmary  wagon 873 

Ambulance  company ,j.j  ^<.>.-.i.-. 874-878 

Field  hospital :.j. 879-883 

Division  surgeon's  office 884-885 

Camp  hospitals 886-888 

Evacuation  hospital,  base  hospital,  and  medical  reserve  unit 889-892 

Base  medical  supply  depot 893-894 

Advance  medical  supply  depot 895 

Field  lal)oratory '896 

Evacuation  ambulance  company ; 897 

Hospital  ships  and  ships  for  patients 898 

Hospital  trains  and  trains  for  patients 899-900 

Office  of  the  chief  surgeon,  field  army,  and  of  the  surgeon,  base  group 901 

Article  XX. — Formulae.,  contents  of  chests,  cases,  etc 902-959 

Formulae  of  nonofficial  compound  medicinal  preparations  listed  in  the 

supply  tables 902 

Contents  of  chests,  cases,  etc.,  and  spare  parts 903-959 

Article  XXI. — BlanTc forms 960-965 

Medical  Department 961 

Adjutant  General 's  Office 962 

Quartermaster  Corps 963 

Ordnance  Department 964 

Inspector  General's  Department 965 

Appendix. 


PART  I. 
GENERAL  MEDICAL  ADMINISTRATION. 


ARTICLE     1.— THE    MEDICAL    DEPARTMENT,    ITS 
ORGANIZATION   AND   PERSONNEL. 

ORGANIZATION. 

1.  The  Medical  Department,  under  the  act  of  Congress  approved 
April  23,  1908  (35  Stats.,  66;  G.  O.  67,  1908),  as  modified  l)y  the  act 
of  March  3,  1911  (36  Stats.,  1054;  G.  O.  45,  1911),  establishing  the 
Dental  Corps,  consists  of  the  Medical  Corps,  the  Medical  Reserve 
Corps,  the  Dental  Corps,  the  Hospital  Corps,  and  the  Nurse  Corps; 
to  which  may  be  added  the  contract  surgeons  employed  by  virtue 
of  the  provisions  of  the  act  of  February  2,  1901  (31  Stats.,  752;  G.  O. 
9,  1901),  and  other  civilians  employed  from  time  to  time  under  the 
authority  of  the  annual  appropriation  acts.  The  general  duties  of 
the  department  are  pointed  out  in  Army  Regulations. 

MEDICAL    CORPS. 

2.  Extract  from  the  act  of  April  23,  1908  (35  Stats.,  06): 

Sec.  2.  That  the  Medical  Corps  shall  consist  of  one  Surgeon  General,  with  rank  of 
brigadier  general,  who  shall  be  chief  of  the  Medical  Department;  fourteen  colonels, 
twenty-four  lieutenant  colonels,  one  hundred  and  five  majors,  and  three  hundred 
captains  or  firet  lieutenants,  who  shall  have  rank,  pay,  and  allowances  of  officers  of 
corresponding  grades  in  the  cavalry  arm  of  the  service.  Immediately  following  the 
approval  of  this  act  all  officers  of  the  Medical  Department  then  in  active  service,  other 
than  the  Surgeon  General,  shall  be  recommissioned  in  the  corresponding  grades  in 
the  Medical  Corps  established  by  this  act  in  the  order  of  their  seniority  and  without 
loss  of  relative  rank  in  the  Army  as  follows:  Assistant  surgeons  general,  with  the  rank 
of  colonel,  as  colonels;  deputy  surgeons  general,  with  the  rank  of  lieutenant  colonel, 
as  lieutenant  colonels;  surgeons  with  the  rank  of  major,  as  majors;  assistant  surgeons, 
who  at  the  time  of  the  approval  of  this  act  shall  have  served  tlu-ee  years  or  more,  as 
captains;  and  assistant  surgeons,  with  the  rank  of  first  lieutenant,  who  at  the  time  of 
the  approval  of  this  act  shall  have  served  less  than  three  years  as  such,  as  first  lieu- 
tenants; and  hereafter  first  lieutenants  shall  be  promoted  to  the  grade  of  captain  after 
three  years'  service  in  the  Medical  Corps. 

Sec.  3.  That  promotions  in  the  Medical  Corps  to  fill  vacancies  in  the  several  grades 
created  or  caused  by  this  act,  or  hereafter  occurring,  shall  be  made  according  to 
seniority,  but  all  such  promotions  and  all  appointments  to  the  grade  of  fii-st  lieutenant 
in  said  corps  shall  be  subject  to  examination  as  hereinafter  provided :  Provided,  That 
the  increase  in  grades  of  colonel,  lieutenant  colonel,  and  major  provided  for  in  this 
act  shall  be  filled  by  promotion  each  calendar  year  of  not  exceeding  two  lieutenant 
colonels  to  be  colonels,  three  majors  to  be  lieutenant  colonels,  fourteen  captains  to  be 
majors,  and  of  the  increase  in  the  grade  of  first  lieutenant  not  more  than  twenty-five 
per  centum  of  the  total  of  such  increase  shall  be  appointed  in  any  one  calendar  year; 

11 


12  MANUAL   FOR  THE   MEDICAL  DEPARTMENT. 

Provided  further ,  That  those  assistant  surgeons  who  at  the  time  of  the  approval  of  thia 
act  shall  have  attained  their  captaincy  by  reason  of  service  in  the  volunteer  forces 
under  the  provisions  of  the  act  of  February  second,  nineteen  hundred  and  one,  section 
eighteen,  or  who  will  receive  their  captaincy  upon  the  approval  of  this  act  by  virtue 
of  such  service,  shall  take  rank  among  the  officers  in  or  subsequently  promoted  to  that 
grade,  according  to  date  of  entrance  into  the  Medical  Department  of  the  Army  as 
commissioned  officers. 

Sec.  4.  That  no  person  shall  receive  an  appointment  as  first  lieutenant  in  the 
Medical  Corps  unless  he  shall  have  been  examined  and  approved  by  an  Army  medical 
board  consisting  of  not  less  than  three  officers  of  the  Medical  Corps  designated  by  the 
Secretary  of  War. 

Sec.  5.  That  no  officer  of  the  Medical  Corps  below  the  rank  of  lieutenant  colonel 
shall  be  promoted  therein  until  he  shall  have  successfully  passed  an  examination 
before  an  Army  medical  board  consisting  of  not  less  than  three  officers  of  the  Medical 
Corps,  to  be  designated  by  the  Secretary  of  War,  such  examination  to  be  prescribed 
by  the  Secretary  of  War  and  to  be  held  at  such  time  anterior  to  the  accruing  of  the 
right  to  promotion  as  may  be  for  the  best  interests  of  the  service :  Provided,  That  should 
any  officer  of  the  Medical  Corps  fail  in  his  physical  examination  and  be  found  incapaci- 
tated for  service  by  reason  of  physical  disability  contracted  in  the  line  of  duty,  he 
shall  be  retired  with  the  rank  to  which  his  seniority  entitled  him  to  be  promoted; 
but  if  he  should  be  found  disqualified  for  promotion  for  any  other  reason,  a  second 
examination  shall  not  be  allowed,  but  the  Secretary  of  War  shall  appoint  a  board  of 
review  to  consist  of  three  officers  of  the  Medical  Corps  superior  in  rank  to  the  officer 
examined,  none  of  whom  shall  have  served  as  a  member  of  the  board  which  examined 
him.  If  the  unfavorable  finding  of  the  examining  board  is  concurred  in  by  the  board 
of  review,  the  officer  reported  disqualified  for  promotion  shall,  if  a  first  lieutenant  or 
captain,  be  honorably  discharged  from  the  service  with  one  year's  pay;  and,  if  a  major, 
shall  be  debarred  from  promotion  and  the  officer  next  in  rank  found  qualified  shall  be 
promoted  to  the  vacancy.  If  the  action  of  the  examining  board  is  disapproved  by  the 
board  of  review,  the  officer  shall  be  considered  qualified  and  shall  be  promoted. 

Sec  6.  That  nothing  in  this  act  shall  be  construed  to  legislate  out  of  the  service 
any  officer  now  in  the  Medical  Department  of  the  Army,  nor  to  affect  the  relative  rank 
or  promotion  of  any  medical  officer  now  in  the  service,  or  who  may  hereafter  be 
appointed  therein,  as  determined  by  the  date  of  hia  appointment  or  commission, 
except  as  herein  otherwise  provided  in  section  three. 

(a)  Section  5  above  was  modified  by  tbe  proviso  in  the  act  of  March 
3,  1909,  reading  as  follows  (35  Stats.,  737): 

Provided,  That  any  major  of  the  Medical  Corps  on  the  active  list  of  the  Army  who, 
at  his  first  examination  for  promotion  to  the  grade  of  lieutenant  colonel  in  said  corps, 
has  been  or  shall  hereafter  be  found  disqualified  for  such  promotion  for  any  reason 
other  than  physical  disability  incurred  in  the  line  of  duty,  shall  be  suspended  from 
promotion  and  his  right  thereto  shall  pass  successively  to  such  officers  next  below  him 
in  rank  in  said  cori)s  as  are  or  may  become  eligible  to  promotion  under  existing  law 
during  the  period  of  his  suspension;  and  any  officer  suspended  fi-om  promotion,  as 
hereinbefore  provided,  shall  be  reexamined  as  soon  as  practicable  after  the  expiration 
of  one  year  from  the  date  of  the  completion  of  the  examination  that  resulted  in  his 
suspension;  and  if  on  such  reexamination  he  is  found  qualified  for  promotion,  ho  shall 
again  become  eligible  thereto;  but  if  he  is  found  disqualified  by  reason  of  phj'sical 
disability  incurred  in  line  of  duty,  he  shall  be  retired,  with  the  rank  to  which  hi.9 
seniority  entitles  him  to  be  promoted;  and  if  he  is  not  found  disqualified  by  reason  of 
such  physical  disability,  but  is  found  disqualified  for  promotion  for  any  other  reason, 
he  shall  be  retired  without  promotion. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  TEESONNEL.       13 
APPOINTMENTS. 

3.  All  applicant  for  appointment  in  the  Medical  Corps  of  the  Army 
must  be  between  22  and  30  years  of  age,  at  the  time  of  taking  the 
preliminary  exammation,  must  be  a  citizen  of  the  United  States, 
must  have  a  satisfactory  general  education,  must  be  a  graduate  of  a 
reputable  medical  school  legally  authorized  to  confer  the  degree  of 
doctor  of  medicme,  and  must  have  had  at  least  one  year's  hospital 
training,  including  practical  experience  in  the  practice  of  medicine, 
surgery,  and  obstetrics. 

(a)  Appointments  to  the  Medical  Corps  are  made  by  the  President, 
upon  the  recommendation  of  the  Surgeon  General,  after  the  appli- 
cants have  passed  the  prescribed  examination.  The  examination 
will  consist  of  two  parts — a  preliminar}-  examination,  and  a  final  or 
qualifying  examination,  with  a  course  of  instruction  at  the  Army 
Medical  School  intervening. 

(b)  Permission  to  appear  for  examination  should  be  applied  for  by 
letter  to  The  Adjutant  General  of  the  Army.  The  application  must 
be  wholly  in  the  handwritmg  of  the  applicant,  must  give  the  place 
and  date  of  his  birth,  must  indicate  the  place  and  State  or  Territory 
of  which  he  is  a  permanent  resident,  and  must  inclose  certificates, 
based  upon  personal  acquaintance,  from  at  least  two  reputable 
persons  as  to  his  citizenship,  character,  and  habits.  Should  his  origi- 
nal application  reveal  any  disqualification  he  will  be  so  advised. 
Should  no  disqualification  be  disclosed  he  wiU  be  given  an  oi)por- 
tunity  to  complete  his  application  by  lilmg  his  personal  history. 
Should  this  indicate  no  disqualification  he  will  in  due  season  be 
formally  invited  to  appear  before  the  local  board  (par,  4)  at  the 
point  most  convenient  for  him,  and  a  date  will  be  fixed  for  his 
appearance. 

(c)  No  allowances  will  be  made  for  the  expenses  of  applicants 
undergoing  preliminary  examinations. 

4.  The  preliminary  examinations  will' be  conducted,  under  instruc- 
tions from  the  Surgeon  General,  by  local  boards  of  one  or  more  medical 
officers,  and  by  a  central  board  of  not  less  than  three,  which  shall 
be  known  as  the  Army  Medical  Board. 

(a)  Local  boards  will  be  convened  at  the  larger  military  posts  as 
occasion  requires.  Permanent  local  boards  also  will  be  established 
from  time  to  time  where  deemed  necessary. 

5.  Each  applicant,  upon  presenting  himself  to  the  local  board, 
wiD,  prior  to  his  physical  examination,  be  required  to  submit  the 
diploma  conferring  upon  him  the  degree  of  doctor  of  medicine, 
and  to  sign  the  following  certificate : 

I  certify,  to  the  best  of  my  knowledge  and  belief,  that  I  am  not  affected  with  any 
form  of  disease  or  disability  which  will  interfere  with  the  performance  of  the  duties 
of  the  office  for  appointment  to  which  I  am  about  to  undergo  examination. 


14  MANUAL  FOR   THE    MEDICAL   DEPARTMENT. 

If  he  fails  to  submit  his  diploma,  or  declines  to  give  the  certificate, 
the  examination  will  not  proceed. 

(a)  Physical  examination.— If  he  submits  his  diploma  and  gives 
the  prescribed  certificate  the  board  will  then  proceed  with  his  physi- 
cal examination,  which  will  conform  in  all  respects  to  that  required 
of  candidates  from  civil  life  for  commission  in  the  line  of  the  Army, 
except  in  respect  to  vision,  the  minimum  requirements  of  which  are 
fixed  from  time  to  time  in  general  orders.  (See  Appendix :  Physical 
Examinations . ) 

The  physical  examination  will  be  made  complete  in  each  case, 
even  though  a  disqualification  be  discovered,  so  as  to  ascertain 
whether  any  other  disqualifications  exist.  If  the  board  finds  one 
or  more  disqualifications  which  in  its  opinion  are  permanent  it 
will  reject  the  applicant  and  not  proceed  with  the  mental  examina- 
tions. It  is  higlily  desirable  that  when  an  applicant  is  rejected  for 
physical  disqualification  the  cause  or  causes  of  rejection  should  be 
so  clearly  established  as  to  be  conclusive  of  the  reasonableness  and 
propriety  of  the  rejection.  Should  the  board  have  a  doubt  as  to  the 
permanency  of  the  disqualification  it  may  require  appropriate  addi- 
tional testimony  concerning  the  same,  and  such  evidence  as  may  be 
obtainable  bearing  on  the  medical  history  of  the  applicant  and  of 
his  family.  Should  the  board  find  one  or  more  physical  disquali- 
fications which  in  its  opinion  are  temporary  m  nature  and  such  as 
may  be  overcome  by  the  time  the  applicant,  if  otherwise  accepta- 
ble, would  be  ordered  to  attend  the  Army  Medical  School,  it  may  pro- 
ceed with  the  mental  examinations,  if  the  applicant  so  desires,  upon 
the  understanding  that  he  shall  present  himself  at  a  time  and  place 
to  be  designated  by  the  Surgeon  General  for  a  second  physical  exam- 
ination and  upon  the  condition  that  his  acceptance  as  a  candidate 
shall  be  subject  in  all  respects  to  his  qualifying  at  the  second  physical 
examination.  In  reporting  the  physical  examination  in  such  case 
the  reasons  which  led  the  board  to  consider  the  disqualifications 
temporary  and  influenced  it  to  continue  the  examination  notwith- 
standing the  same  will  be  fully  set  forth  in  its  report.  The  physical 
examination  will  be  reported  on  the  form  provided  for  the  puipose. 

(b)  The  applicant  having  been  found  physicaDy  qualified,  or  the 
physical  disqualifications  found  being  only  temporary  as  provided  in 
the  preceding  section,  the  board  will  next  proceed  with  the  mental 
examinations,  which  will  be  in  writing,  as  follows : 

General  education. — This  examination  may  be  omitted  at  the  dis- 
cretion of  the  Surgeon  General  in  the  case  of  applicants  holding 
diplomas  or  certificates  from  reputable  literary  or  scientific  colleges, 
nonnal  schools  or  high  schools,  or  of  graduates  of  medical  schools 
which  require  an  entrance  exammation  satisfactory  to  the  Surgeon 
General.     When  held  it  will  cover  mathematics  (arithmetic,  algebra; 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       15 

and  plane  geometry),  geography,  history  (especially  of  the  United 
States),  general  literature,  Latm  grammar,  and  the  reading  of  easy 
Latin  prose.  Questions  in  these  subjects  will  be  sent  from  the 
Surgeon  General's  Office  if  examination  therem  is  required. 

Professional  education. — This  will  be  in  the  following  subjects, 
upon  questions  supplied  to  the  board  from  the  Surgeon  General's 
Office:  Anatomy,  physiology  and  histology,  chemistry  and  physics, 
materia  medica  and  therapeutics,  surgery,  practice  of  medicine, 
obstetrics  and  gynecology. 

(c)  Upon  the  conclusion  of  the  examination  the  local  board  will 
return  the  applicant's  diploma  to  him. 

{d)  The  local  board  will  report  its  proceedings  on  the  form  provided 
therefor  direct  to  the  Surgeon  General,  noting  thereon  its  opinion  of 
the  applicant's  aptitude  for  the  service  as  good,  fair,  or  poor.  It  will 
forward  therewith  without  marking  them  the  questions  and  answers 
in  the  mental  examinations. 

6.  The  favorable  findings  of  the  local  board  as  to  an  applicant's 
physical  qualifications,  its  opinion  as  to  his  aptitude  for  the  service, 
and  the  questions  and  answers  in  his  mental  examinations,  will  be 
referred  by  the  Surgeon  General  to  the  Army  Medical  Board,  which 
will  mark  the  applicant's  questions  and  answers  proportionately  to 
their  relative  value  in  each  class,  will  rate  his  aptitude  for  the  service, 
and  will  make  final  report  to  the  Surgeon  General  as  to  his  qualifica- 
tions. Proficiency  in  English  grammar,  orthography,  and  composi- 
tion will  be  determined  from  the  applicant's  examination  papers. 
An  applicant  who  in  the  opinion  of  the  Army  Medical  Board  is  physi- 
cally disqualified  will  be  rejected  on  that  ground,  notwithstanding 
the  favorable  finduigs  of  the  local  board.  An  applicant  who  is  defi- 
cient in  English  grammar,  orthography,  and  composition  will  be 
rejected.  An  applicant  who  has  been  examined  as  to  his  general 
education  and  fails  to  make  a  general  average  therein  of  75  per  cent 
will  be  rejected.  An  applicant  who  has  been  found  physically  quali- 
fied, and  whose  general  education  and  English  grammar,  orthography, 
and  composition  have  been  found  satisfactory,  and  who  makes  a  gen- 
eral average  of  80  per  cent  in  his  professional  examination  and  in 
aptitude,  will  be  reported  as  qualified;  the  board  may,  however, 
reject  any  candidate  who  fails  to  make  65  per  cent  in  any  profes- 
sional subject. 

7.  An  applicant  failing  in  one  preliminary  examination  may  be 
allowed  another  after  the  expiration  of  one  year,  but  not  a  third. 
Withdrawal  from  examination  during  its  progress,  except  because 
of  sickness,  will  be  deemed  a  failure. 

8.  Qualified  applicants  will  be  appointed  to  the  Medical  Reserve 
Corps  with  the  rank  of  first  lieutenant,  and  upon  pledging  themselves 
to  accept  a  commission  in  the  Medical  Corps,  if  found  qualified  in 


16  MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 

the  final  examination,  and  to  serve  at  least  five  years  thereunder, 
unless  sooner  discharged,  will  be  ordered  to  the  Army  Medical  School, 
Washington,  D.  C,  for  instruction  as  candidates  for  admission  to  the 
Medical  Corps  of  the  Army,  If,  however,  a  greater  number  of 
applicants  qualify  than  can  be  accommodated  at  the  school,  the 
requisite  number  will  be  selected  according  to  their  relative  standing 
as  marked  by  the  Army  Medical  Board. 

(a)  Qualified  candidates  ordered  to  the  school  receive  the  pay  and 
allowances  of  a  first  lieutenant  for  the  journey  from  their  homes  to 
Washington,  and  while  on  duty  at  the  school. 

9.  The  final  or  qualifying  examination  of  graduate  candidates  for 
appointment  in  the  Medical  Corpa.will  be  held  by  the  Army  Medical 
Board  (par.  4)  immediately  after  the  close  of  the  term  of  the  Army 
Medical  School.  It  will  cover  the  following  points:  First,  the  can- 
didate's physical  qualifications;  second,  his  clinical  skill  and  acumen; 
and  third,  his  general  aptitude  for  the  service. 

(a)  The  physical  examination  will  be  thorough.  If  it  reveals  a 
permanent  incapacity  for  active  military  service,  the  candidate  will 
be  relieved  frorh  active  duty  and  his  discharge  from  the  service  recom- 
mended. If  it  reveals  an  incapacit}^  curable  within  a  brief  period, 
the  candidate  will  be  regarded  as  physically  qualified,  and  the  clinical 
examination  will  be  proceeded  with.  The  question  whether  the  in- 
capacity is  permanent  or  curable  is  one  for  the  examining  board  to 
determine.  In  case  of  doubt  the  examination  will  be  discontinued, 
and  the  candidate  relieved  from  active  duty  to  afi^ord  him  an  oppor- 
tunity to  effect  a  cure.  A  candidate  relieved  from  active  duty  for 
this  purpose  may,  upon  the  recommendation  of  the  Surgeon  General, 
be  called  into  active  service  the  following  year,  for  final  examination 
with  the  next  class  of  candidates.  Should  he  then  be  found  physi- 
cally incapacitated  he  will  be  again  relieved  from  active  duty  and 
his  discharge  from  the  service  recommended. 

(h)  The  candidate  having  been  found  physically  qualified,  the 
board  will  then  proceed  with  his  clinical  examination  and  the  inquiry 
into  his  general  aptitude,  giving  him  appropriate  ratings  under  each 
head  conformably  to  instructions  from  the  Surgeon  General. 

(c)  Graduate  candidates  who  are  fomid  physically  qualified  and 
who  obtain  a  general  average  of  80  per  cent  in  their  preliminary 
professional  examination,  in  their  course  at  the  Army  Medical  School, 
in  their  clinical  examination,  and  in  their  general  aptitiide,  will  be 
eligible  for  appointment  in  the  Medical  Corps. 

(d)  Eligible  candidates  may,  if  they  so  desire,  take  a  special 
examhiation  in  ancient  or  modern  languages,  higliei-  mathematics,  or 
scientific  branches  other  than  medical.  Proficiency  therein  will  be 
rated  by  the  board  conformably  to  instructions  from  the  Surgeon 
General. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       17 

ie)  The  relative  standing  for  appointment  of  eligible  candidates 
will  be  determined  by  the  total  number  of  points  obtained  in  the 
preliminary  professional  examination,  in  the  school,  in  the  clinical 
examination,  in  general  aptitude,  and  in  the  special  examination, 
if  one  is  taken. 

(f)  Eligible  candidates  who  fail  to  receive  appointments  because 
of  lack  of  vacancies  at  the  time  of  qualification  may  receive  them 
in  the  order  of  their  standing  as  vacancies  occur  before  the  graduation 
of  the  next  class.  Thereafter  they  shall  not  be  eligible  for  appoint- 
ment in  the  Medical  Corps,  but  will  be  preferred  for  selection  for 
volunteer  commissions  and  for  active  duty  in  the  Medical  Reserve 
Corps. 

EXAMINATION   FOR   PROMOTION. 

(See  par.  2,  sec.  5.) 

10.  Regulations  governing  the  examination  of  officers  of  the  Army 
for  promotion  are  published  by  the  War  Department  from  tune  to 
time  in  general  orders.    (See  Appendix:  Officers.) 

11.  Before  proceeding  with  the  physical  examination  for  the  pro- 
motion of  a  medical  officer,  the  officer  about  to  be  examined  will  be 
required  to  submit,  for  the  information  of  the  examinmg  board,  a 
certincate  as  to  his  physical  condition.  If  he  knows  of  no  physical 
disqualification  existing,  the  certificate  will  take  the  following 
form: 

I  certify,  to  the  b(?st  of  my  knowledge  and  belief,  that  I  am  not  affected  with  any 
form  of  disease  or  disability  which  will  interfere  with  the  performance  of  the  duties 
of  the  grade  for  promotion  to  which  I  am  about  to  undergo  examination. 

(a)  The -certificate  called  for  in  this  paragraph  wiU  be  attached  to 
the  proceedings  of  the  board. 

PERSONAL  REPORTS. 

12.  The  personal  reports  made  to  the  Surgeon  General  in  compli- 
ance with  Army  Regulations  by  officers  of  the  Medical  Corps  at  inde- 
pendent posts  and  stations  wiU  be  fox-warded  direct.  In  other  cases 
they  wiU  be  made  in  duplicate  and  forwarded  to  the  department  sur- 
geon who  will  send  the  original  without  delay  to  the  Surgeon  General 
and  retain  the  carbon  copy  for  his  own  records. 

13.  Officere  of  the  Medical  Corps  will  immediately  upon  any  change 
in  their  stations,  status,  or  duties  report  the  same  to  the  Surgeon 
General,  stating  the  authority  therefor,  with  the  number,  date,  and 
source  of  the  order  making  the  change.  These  reports  will  be  made 
and  forwarded  as  in  the  preceding  paragraph. 

93440°— 17 2 


18  MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 

MEDICAL    RESERVE    CORPS. 

14.  Extract  from  the  act  of  April  23,  1908  (35  Stats.,  68) : 

Sec.  7.  That  for  the  purpose  of  securing  a  reserve  corps  of  medical  oftlcers  available 
for  military  service,  the  President  of  the  United  States  is  authorized  to  issue  com- 
missions as  first  lieutenants  therein  to  such  graduates  of  reputable  schools  of  medicine, 
citizens  of  the  United  States,  as  shall  from  time  to  time,  upon  examination  to  be  pre- 
scribed by  the  Secretary  of  War,  be  found  physically,  mentally,  and  morally  qualified 
to  hold  such  commissions,  the  persons  so  commissioned  to  constitute  and  be  known 
as  the  Medical  Reserve  Corps.  The  commissions  so  given  shall  confer  upon  the  holders 
all  the  authority,  rights,  and  privileges  of  commissioned  oflicefs  of  the  like  grade  in 
the  Medical  Corps  of  the  United  States  Army,  except  promotions,  but  only  when 
called  into  active  duty,  as  hereinafter  provided,  and  during  the  period  of  such  active 
duty.  Oflicers  of  the  Medical  Reserve  Corps  shall  have  rank  in  said  corps  according 
to  date  of  their  commissions  therein,  and  when  employed  on  active  duty,  as  hereinafter 
provided,  shall  rank  next  below  all  other  officers  of  like  grade  in  the  United  States 
Army:  Provided,  That  contract  surgeons  now  in  the  military  service  who  receive  the 
favorable  recommendation  of  the  Surgeon  General  of  the  Army  shall  be  eligible  for  ap- 
pointment in  said  reserve  corps  without  further  examination:  Provided  further ,  That 
any  contract  surgeon  not  over  twenty-seven  years  of  age  at  date  of  his  appointment 
as  contract  surgeon  shall  be  eligible  to  appointment  in  the  regular  corps. 

Sec.  8.  That  in  emergencies  the  Secretary  of  War  may  order  officers  of  the  Medical 
Reserve  Corps  to  active  duty  in  the  service  of  the  United  States  in  such  numbers  as 
the  public  interests  may  require,  and  may  relieve  them  from  such  duty  when  their 
services  are  no  longer  necessary:  Provided,  That  nothing  in  this  act  shall  be  construed 
as  authorizing  an  officer  of  the  Medical  Reserve  Corps  to  be  ordered  upon  active  duty 
as  herein  provided  who  is  unwilling  to  accept  such  service,  nor  to  prohibit  an  officer 
of  the  Medical  Reserve  Corps  not  designated  for  active  duty  from  service  with  the 
militia,  or  with  the  volunteer  troops  of  the  United  States,  or  in  the  service  of  the 
United  States  in  any  other  capacity,  but  when  so  serving  with  the  militia  or  with  vol- 
imteer  troops,  or  when  employed  in  the  service  of  the  United  States  in  any  other 
capacity,  an  officer  of  the  Medical  Reserve  Corps  shall  not  be  subject  to  call  for  duty 
under  the  terms  of  this  section:  And  provided  further,  That  the  President^is  authorized 
to  honorably  discharge  from  the  Medical  Reserve  Corps  any  officer  thereof  whose 
services  are  no  longer  required :  And  provided  further.  That  officers  of  the  Medical 
Reserve  Corps  who  apply  for  appointment  in  the  Medical  Corps  of  the  Army 
may,  upon  the  recommendation  of  the  Sirrgeon  General,  be  placed  on  active  duty 
by  the  Secretary  of  War  and  ordered  to  the  Army  Medical  School  for  instruction 
and  further  examination  to  determine  their  fitness  for  commission  in  the  Medical 
Corps:  And  provided  further ,  That  any  officer  of  the  Medical  Reserve  Corps  who  is 
subject  to  call  and  who  shall  be  ordered  upon  active  duty  as  herein  provided  and  who 
shall  be  unwilling  and  refuse  to  accept  such  service  shall  forfeit  his  commission. 

Sec.  9.  That  officers  of  the  Medical  Reserve  Corps  when  called  upon  active  duty 
in  the  service  of  the  United  States,  as  provided  in  section  eight  of  this  act,  shall  be 
subject  to  the  laws,  regulations,  and  orders  for  the  government  of  the  Regular  Army, 
and  during  the  period  of  such  service  shall  be  entitled  to  the  pay  and  allowances  of 
first  lieutenants  of  the  Medical  Corps  with  increase  for  length  of  service  now  allowed 
by  law,  said  increase  to  be  computed  only  for  time  of  active  duty:  Provided,  That  no 
officer  of  the  Medical  Reserve  Corps  shall  be  entitled  to  retirement  or  retirement  pay, 
nor  shall  he  be  entitled  to  pension  except  for  physical  di.sability  incurred  in  the  line 
of  duty  while  in  active  duty:  And  provided  further ,  That  nothing  in  this  act  shall  be 
construed  to  prevent  the  appointment  in  time  of  war  of  medical  officers  of  volunteers 
in  euch  numbere  and  with  such  rank  and  pay  as  may  be  provided  by  law. 


MEDICAL  DEPARTMENT^  ITS  ORGANIZATION  AND  PERSONNEL.        19 

15.  An  applicant  for  appointment  in  the  Medical  Reserve  Corps 
must  be  between  22  and  45  years  of  age,  must  be  a  citizen  of  the  United 
States,  must  be  a  graduate  of  a  reputable  medical  school  legally 
authorized  to  confer  the  degree  of  doctor  of  medicine,  and  must 
have  qualified  to  practice  medicuie  in  the  vState  or  Territory  in  which 
he  resides. 

(a)  Appointments  in  this  corps  are  made  by  the  President  upon 
the  recommendation  of  the  Surgeon  General  after  the  applicants 
have  passed  the  prescribed  examinations.  Permission  to  appear  for 
examination  is  obtained  by  application  to  The  Adjutant  General  of 
the  Army  similar  to  that  required  in  the  case  of  apphcants  for  appoint- 
ment in  the  Medical  Corps  (par.  36).  Should  his  original  application 
reveal  any  disqualification,  the  applicant  will  be  so  advised.  Should 
none  be  disclosed,  he  will  be  given  an  opportunity  to  complete  his 
appUcation  by  filing  his  personal  history,  accompanied  by  a  certifi- 
cate from  the  proper  State  or  local  official  that  the  applicant  is  duly 
qualified  to  practice  medicine  in  the  State  or  Territory  where  he 
resides.  Should  his  personal  history  indicate  no  disqualification, 
he  will  in  due  season  be  formally  invited  to  appear  before  the  examin- 
ing board  at  the  place  most  convenient  for  him.  No  allowances 
will  be  made  for  the  expenses  of  applicants  undergoing  examination. 

16.  The  examination  will  be  conducted,  under  instructions  from 
the  Surgeon  General,  by  boards  of  one  or  more  officers  of  the  Medical 
Corps  convened  from  time  to  tune,  as  required,  at  military  posts  or 
stations. 

(a)  Upon  presenting  himself  to  the  board  the  applicant  will  be 
required  to  submit  the  diploma  conferring  upon  him  the  degree  of 
doctor  of  medicine  and  to  give  a  certificate  similar  to  that  prescribed 
in  the  case  of  applicants  for  appointment  in  the  Medical  Corps 
(par.  5).  If  he  fails  to  submit  his  diploma  or  declines  to  give  the 
certificate  the  examination  will  not  proceed. 

(b)  Tlie  diploma  having  been  submitted  and  the  certificate  given, 
the  board  will  then  make  a  thorough  physical  examination  of  the 
applicant,  which  must  conform  in  all  respects  to  that  required  of 
candidates  for  commission  in  the  Medical  Corps  (par.  5a).  If  any 
physical  disqualification  for  the  service  is  found  the  examination  will 
be  discontinued.  The  findings  and  action  of  the  board  wiU  be 
reported  on  the  form  provided  for  the  purpose. 

(c)  The  applicant  having  been  found  physically  qualified,  the  board 
will  next  proceed  with  his  professional  examination  in  the  following 
subjects:  Practice  of  medicine,  surgery,  obstetrics  and  gynecology, 
and  hygiene.  This  examination  will  be  oral  and  sufficiently  com- 
prehensive to  determine  whether,  in  the  opinion  of  the  board,  the 
applicant  is  qualified  to  practice  his  profession  under  •  the  usual 
conditions  of  the  military  service.     Should  the  oral  examination  in 


20  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

any  subject  be  unsatisfactory,  the  applicant  may  be  required  to  take  a 
written  examination  therein. 

(d)  Upon  the  conclusion  of  the  examination  the  board  will  return 
the  applicant's  diploma  to  him.  The  proceedings  of  the  board  will 
be  reported  direct  to  the  Surgeon  General. 

17.  An  officer  of  the  Medical  Reserve  Corps  assigned  to  active 
duty  in  the  service  of  the  United  States  will  immediately  upon 
arrival  at  his  fu^t  station  be  subjected  to  a  critical  physical  exami- 
nation by  a  board  of  one  or  more  medical  officers  constituted  for  the 
purpose,  if  such  board  is  available.  If  no  such  board  is  available 
at  the  station  to  which  he  is  assigned,  he  will  be  ordered  to  report 
to  the  nearest  medical  officer  for  examination  before  proceeding  to 
his  station.  Upon  presenting  himself  to  the  board  the  officer  will 
be  required  to  give  a  certificate  identical  with  that  requhed  of 
candidates  for  commission  in  the  Medical  Corps  (par.  5).  The 
certificate  having  been  given,  the  board  will  then  proceed  with  the 
physical  examination,  which  will  conform  to  that  prescribed  in 
paragraph  5a,  and  be  made  complete,  even  though  a  physical  dis- 
qualification be  discovered,  so  as  to  ascertain  for  record  whether  any 
other  physical  disqualification^  or  defects  exist.  The  examination 
will  be  reported  to  the  Surgeon  General  upon  the  form  provided 
therefor,  noting  thereon  in  full  the  disqualifications  or  defects  found 
and  the  board's  recommendation  whether  the  officer  shall  be  continued 
on  active  duty  or  shall  be  forthwith  relieved. 

(a)  Upon  rehef  from  active  duty  (except  in  the  case  of  an  officer 
forthwith  relieved  for  disqualification  found  at  the  examination 
immediately  following  his  assignment  to  active  duty)  the  officer 
will  again  be  subjected  to  a  critical  physical  examination  by  a 
similar  board,  to  which  will  be  referred  the  report  of  the  physical 
examination  made  when  the  officer  was  called  into  active  service. 
The  examination  upon  relief  will  be  completed  in  all  respects  and 
reported  to  the  Surgeon  General  on  the  appropriate  form,  modified 
as  necessary.  All  physical  disqualifications  or  defects  found  on 
such  examination  will  be  fully  reported.  In  case  any  of  them  were 
noted  on  the  report  of  the  physical  examination  made  wlien  the 
officer  was  called  into  active  service,  the  report  of  the  board  will 
indicate  whether  there  appears  to  have  been  any  change  therein 
since  that  examination.  If  any  of  the  physical  disqualifications  or 
defects  found  on  the  former  examination  are  not  found  when  the 
officer  is  examined  upon  his  relief,  the  report  of  the  board  will  afiirni- 
atively  set  forth  that  fact. 

(b)  The  provisions  of  this  paragraph  may  be  waived  by  tlie  Surgeon 
General  in  the  case  of  Reserve  Corps  officers  called  into  active  service 
for  temporary  duty. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       21 
PERSONAL   REPORTS. 

18.  Officers  of  the  Medical  Reserve  Corps  in  active  service  will 
render  personal  reports  similar  to  those  made  by  officers  of  the  Medical 
Corps  mider  paragraphs  12  and  13. 

19.  Every  officer  of  the  Medical  Reserve  Corps  not  in  active  service 
will  report  his  address  to  the  Surgeon  General  at  the  end  of  each  calen- 
dar year.     He  will  also  report  promptly  every  change  of  address. 

DENTAL    CORPS. 

20.  Extract  from  the  act  of  March  3,  1911  (36  Stats.,  1054): 

Hereafter  there  shall  be  attached  to  the  Medical  Department  a  Dental  Corps,  which 
shall  be  composed  of  dental  surgeons  and  acting  dental  surgeons,  the  total  number  of 
which  shall  not  exceed  the  proportion  of  one  to  each  thoiisand  of  actual  enlisted  strength 
of  the  Army;  the  number  of  dental  siu-geons  shall  not  exceed  sixty,  and  the  number 
of.  acting  dental  surgeons  shall  be  such  as  may,  from  time  to  time,  be  authorized  by 
law.  All  original  appointments  to  the  Dental  Corps  shall  be  as  acting  dental  siu-geons, 
who  shall  have  the  same  official  status,  pay,  and  allowances  as  the  contract  dental 
siu^eons  now  authorized  by  law.  Acting  dental  sm-geons  who  have  served  three  years 
in  a  manner  satisfactory  to  the  Secretary  of  War  shall  be  eligible  for  appointment  as 
dental  surgeons,  and,  after  passing  in  a  satisfactory  manner  an  examination  which  may 
be  prescribed  by  the  Secretary  of  War,  may  be  commissioned  with  the  rank  of  first 
lieutenant  in  the  Dental  Corps  to  fill  the  vacancies  existing  therein.  Officers  of  the 
Dental  Corps  shall  have  rank  in  such  corps  according  to  date  of  their  conmiissions 
therein  and  shall  rank  next  below  officers  of  the  Medical  Reserve  Corps.  Their  right 
to  command  shall  be  limited  to  the  Dental  Cosps.  The  pay  and  allowances  of  dental 
surgeons  shall  be  those  of  first  lieutenants,  including  the  right  to  retirement  on  account 
of  age  or  disability,  as  in  the  case  of  other  officers:  Provided,  That  the  time  served  by 
dental  surgeons  as  acting  dental  or  contract  dental  siu-geons  shall  be  reckoned  in  com- 
puting the  increased  service  pay  of  such  as  are  commissioned  under  this  act.  The 
appointees  as  acting  dental  surgeons  must  be  citizens  of  the  United  States  between 
twenty-one  and  twenty-seven  years  of  age,  graduates  of  a  standard  dental  college, 
of  good  moral  character  and  good  professional  education,  and  they  shall  be  required 
to  pass  the  usual  physical  examination  required  for  appointment  in  the  Medical  Corps, 
and  a  professional  examination  which  shall  include  tests  of  skill  in  practical  dentistry 
and  of  proficiency  in  the  usual  subjects  of  a  standard  dental  college  course:  Provided, 
That  the  contract  dental  surgeons  attached  to  the  Medical  Department  at  the  time  of 
the  passage  of  this  act  may  be  eligible  for  appointment  as  first  lieutenants,  Dental  Corps, 
without  limitation  as  to  age:  And  provided  further,  That  the  professional  examination 
for  such  appointment  may  be  waived  in  the  case  of  contract  dental  surgeons  in  the 
service  at  the  time  of  the  passage  of  this  act  whose  efficiency  reports  and  entrance 
examinations  are  satisfactory.  The  Secretary  of  War  is  authorized  to  appoint  boards 
of  three  examiners  to  conduct  the  examinations  herein  prescribed,  one  of  whom  shall 
be  a  surgeon  in  the  Army  and  two  of  whom  shall  be  selected  by  the  Secretary  of  War 
from  the  commissioned  dental  surgeons. 

ACTING  DENTAL  SURGEONS. 

21.  Applications  for  examination  for  appointment  as  acting  dental 
surgeons  under  the  foregoing  law  should  be  made  to  the  Surgeon  Gen- 
feral,  who  will  furnish  blanks  therefor  on  request.     They  must  in  each 


22  MANUAT,  FOR   THR   MEDICAI.  DEPARTMENT. 

case  be  accompanied  by  certificates  from  at  least  two  reputable  per- 
sons as  to  the  applicant's  citizenship,  character,  and  habits. 

(a)  When  an  applicant  is  selected  for  examination  his  application 
and  the  certificates  therewith  will  be  referred  by  the  Surgeon  General 
to  the  examining  board  designated  to  examine  him  for  its  information. 
The  applicant  will  in  due  season  be  notified  when  and  where  to  present 
himself  to  the  board. 

(6)  No  allowances  will  be  made  for  the  expenses  of  candidates 
undersroing  examination. 

22.  Examinations  will  be  authorized  and  boards  to  conduct  them 
will  be  convened  from  time  to  time  as  may  be  deemed  necessary. 
The  medical  member  of  the  board  will  be  its  president  and  the  junior 
dental  surgeon  its  recorder.  The  procedure  of  the  board  will  cor- 
respond to  that  of  other  army  boards  of  a  similar  character. 

23.  When  two  or  more  dental  examining  boards  are  convened  at 
the  same  time  one  of  them  will  be  designated  by  the  Surgeon  General 
as  the  central  examining  board,  to  prepare  the  questions  for  the  written 
and  oral  examinations  to  be  conducted  simultaneouslyby  the  several 
boards.  In  order  that  there  may  be  no  premature  disclosure  of  the 
questions,  the  same  will  be  transmitted  by  the  central  board  confiden- 
tially to  the  Surgeon  General  for  distribution  to  the  other  boards  in 
season  for  the  latter's  action.  When  but  one  board  is  convened  it 
will  prepare  the  questions  for  the  written  and  oral  examinations  of 
the  candidates  to  appear  before  it. 

24.  Each  candidate  upon  presenting  himself  to  the  examining  board 
will,  prior  to  his  physical  examination,  be  required  to  sign  the  certifi- 
cate required  of  applicants  for  appointment  m  the  Medical  Corps  of 
the  Army  (par.  5),  and  to  submit  therewith  his  diploma  as  a  graduate 
of  a  standard  dental  college.  If  he  declines  to  give  the  certificate  or 
fails  to  submit  his  diploma,  the  examination  wiU  not  proceed. 

(o)  Physical  examination. — His  certificate  having  been  given  and 
his  di])loma  having  been  found  satisfactory  and  returned  to  him,  the 
medical  member  of  the  board  will  then  proceed  with  the  physical 
examination  of  the  candidate,  which  will  conform  in  aU  respects  to 
that  required  of  candiilates  from  civil  life  for  commission  m  the  Medi- 
cal Corps  of  the  Army.  If  any  physical  disqualification  for  the  service 
is  found,  the  examination  will  be  discontinued  and  the  candidate 
rejected.  The  findings  of  the  medical  meml)cr  of  the  board  in  respect 
to  the  candidate's  physical  qualifications  will  be  recorded  on  the 
form  provided  for  the  purpose,  and  accompany  the  report  of  the 
board  upon  the  conclusion  of  the  examination. 

(h)  Professional  examination. — If  the  candidate  is  foimd  physi- 
cally qualified,  the  whole  board  wiU  then  proceed  with  his  professional 
examination.  This  will  consist  of  oral  and  wiitton  questions  and 
clinical  wojk,  particidar  stress  being  laid  upon  the  j)rafti('al  examina- 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       23 

tion.  The  oral  examination  will  include  oral  surgery,  operative  den- 
tistry and  prosthetic  dentistry.  The  subjects  of  the  written  exami- 
nation will  be  anatomy,  physiology  and  histology;  materia  medica 
and  therapeutics;  dental  pathology  and  bacteriology;  chemistry, 
physics  and  metallurgy.  The  clinical  examination  wiU  be  of  such  a 
character  as  will  thoroughly  test  the  candidate's  practical  knowledge 
of  operative  and  prosthetic  dentistry. 

An  average  of  75  per  cent  will  be  required  to  qualify  in  the  sub- 
jects of  the  written  and  oral  examinations,  and  85  per  cent  in  the 
practical  examination. 

(c)  To  insure  uniformity  of  standards  so  far  as  practicable,  the 
answers  to  the  questions  in  the  written  examinations  will  be  rated 
by  the  central  board,  if  one  has  been  convened.  Whether  there  is 
a  central  board  or  not,  the  local  boards  will  rate  the  oral  and  practical 
examinations  and  report  their  findings  in  regard  to  the  physical  com- 
petency, the  moral  character,  and  the  general  fitness  for  the  service 
of  all  the  candidates  examined  by  them. 

(d)  The  board  will  make  a  full  report  of  the  examination  of  each 
candidate  and  forward  aU  papei-s  connected  therewith  direct  to  the 
Surgeon  General,  or  to  the  central  board  if  one  has  been  convened. 

(e)  Detailed  instructions  for  the  guidance  of  the  board  will  be  fur- 
nished by  the  Surgeon  General. 

25.  Candidates  who  qualify  at  the  examination  will  be  preferred 
for  employment  as  acting  dental  surgeons  in  the  order  of  their  stand- 
ing at  the  exammation,  according  to  the  needs  of  the  service  during 
the  ensuing  year.  After  the  expiration  of  a  year,  they  will  no  longer 
be  considered  eligible  until  again  exaniined. 

(a)  Contracts  to  perform  the  duties  of  an  acting  dental  surgeon 
will  be  entered  into  on  Form  45,  by  the  Surgeon  General  only,  with 
selected  candidates  who  have  qualified  as  hereinbefore  required. 
They  wiU  be  annulled  only  as  provided  in  Army  Regulations. 

DENTAL    SURGEONS. 

26.  Acting  dental  surgeons  whose  work  and  conduct  during  a 
service  of  three  years  as  disclosed  by  the  records  of  the  War  Depart- 
ment have  given  rise  to  no  material  and  well-grounded  criticism  will 
be  regarded  as  eligible  for  appointment  to  the  grade  of  dental  sur- 
geon, upon  the  occurring  of  vacancies  therein,  subject  to  a  physical 
and  professional  examination  by  a  board  duly  constituted  as  pre- 
scribed by  law. 

27.  The  candidate  upon  presenting  himself  to  the  board  will, 
prior  to  his  physical  examination,  sign  the  certificate  required  of 
applicants  for  appointment  in  the  Medical  Corps  of  the  Army  (par. 
5) .  If  he  declines  to  give  the  certificate,  the  examination  will  not 
proceed. 


24  MANUAL   FOR    THE   MEDICAL   DEPARTMENT. 

28.  Physical  examination.— The  certificate  having  been  given,  the 
medical  member  of  the  board  will  proceed  with  the  candidate's 
physical  examination,  which  will  conform  to  that  prescribed  in  para- 
graph 24rt  for  candidates  for  appointment  as  acting  dental  surgeons, 
and  will  be  conducted,  discontinued,  recorded,  and  reported  in  like 
manner. 

29.  Professional  examination. — The  candidate  having  been  found 
physically  qualified,  the  board  will  then  proceed  with  his  professional 
examination.  This  will  comprise  two  parts,  the  written  examina- 
tion and  the  practical  examination.  A  general  average  of  75  per 
cent  and  not  less  than  60  per  cent  in  any  one  subject  (except  Medical 
Department  administration)  will  be  required  to  qualify  in  the  written 
examination,  and  a  general  average  of  85  per  cent  in  the  practical 
examination. 

(a)  The  written  examination  will  include  10  questions,  to  be  formu- 
lated by  the  board,  in  each  of  the  following  subjects:  (1)  Medical 
Department  administration — Army  Regulations  so  far  as  they  relate 
to  the  Dental  Corps  of  the  Army  or  to  the  dental  surgeon  as  an  officer 
of  the  Army;  Manual  for  the  Medical  Department,  so  far  as  it  relates 
to  the  Dental  Corps ;  Manual  for  Courts-Martial;  (2)  oral  hygiene;  (3) 
orthodontia;  (4)  operative  dentistry,  includmg  recent  progress  in 
etiology,  pathology,  therapeutics,  and  operative  methods;  (5)  oral 
surgery,  including  recent  progress  in  etiology,  pathology,  thera- 
peutics, and  operative  procedure. 

(b)  The  practical  examination  will  be  within  the  scope  of  the  follow- 
ing schedule.  It  is  not  expected  that  work  will  be  requu'ed  under  all 
of  the  clinical  sub-heads  indicated.  The  board  will  exercise  its  judg- 
ment in  selecting  the  tests  according  to  the  time  and  clinical  material 
available. 

1.  Operative:  Examination  of  the  oral  cavity  and  diagnosis  of 
pathological  conditions  found;  extraction  of  roots  of  broken  down 
teeth;  adjusting  porcelain  crown,  cast  base,  or  grinding;  gold  filling; 
compound  gold  filling;  compound  amalgam  filling;  oxyphosphate  fill- 
ing; treatment  of  exposed  pulps  and  putrescent  root  canals;  prophy- 
lactic treatment. 

2.  Prostlietic:  Taking  impressions  of  mouth,  running  models, 
mounting  on  articulator,  and  articulating  teeth;  makmg  gold  cro%vu, 
or  gold  and  porcelain  crown,  or  gold  and  porcelain  bridge. 

30.  The  board  will  make  a  full  report  of  the  examination  of  each 
candidate  on  the  forms  provided  for  that  purpose  and  wiU  forward  all 
papers  connected  therewith  direct  to  tlie  Surgeon  General. 

(a)  Detailed  instructions  for  the  guidance  of  the  board  will  be 
furnished  by  the  Surgeon  General. 

31.  (Candidates  who  qualify  will  be  recommended  to  tlie  President 
for  commission. 


MEDICAL    DEPARTMENT,  ITS    ORGANIZATION    AND    PERSONNEL.       25 
PERSONAL    REPORTS. 

32.  Dental  surgeons  and  acting  dental  surgeons  will  render  personal 
reports  similar  to  those  made  by  officers  of  the  Medical  Corps  under 
paragraphs  12  and  13. 

HOSPITAL  CORPS. 

CONSTITUTION    OF   THE    CORPS. 

33.  Extract  from  the  act  of  March  1,  1887  (24  Stats.,  435): 

That  the  Hospital  Corps  of  the  United  States  Army  shall  consist  of  hospital  stewards, 
acting  hospital  stewards,  and  privates;  and  all  necessary  hospital  services  in  garrison, 
camp,  or  field  (including  ambulance  service)  shall  be  performed  by  the  members 
thereof,  who  shall  be  regularly  enlisted  in  the  military  service;  said  corps  shall  be 
permanently  attached  to  the  Medical  Department,  and  shall  not  be  included  in  the 
effective  strength  of  the  Army  nor  counted  as  a  part  of  the  enlisted  force  provided  by  law. 

Sec.  2.  That  the  Secretary  of  War  is  empowered  to  appoint  as  many  hospital 
stewards  as  in  his  judgment  the  service  may  require;  but  not  more  than  one  hospital 
steward  shall  be  stationed  at  any  post  or  place  without  special  authority  of  the  Secre- 
tary of  War. 

Sec.  3.  That  *  *  *  hospital  stewards  *  *  *  shall  have  rank  with  ordnance 
sergeants,  and  be  entitled  to  all  the  allowances  appertaining  to  that  gi-ade. 

Sec.  4.  That  no  person  shall  be  appointed  a  hospital  steward  unless  he  shall  have 
passed  a  satisfactory  examination  before  a  board  of  one  or  more  medical  officers  as  to 
his  qualifications  for  the  position,  and  demonstrated  his  fitness  therefor  by  service 
of  not  less  than  12  months  as  acting  hospital  steward;  and  no  person  shall  be  desig- 
nated for  such  examination  except  by  written  authority  of  the  Surgeon  General. 

Sec.  5.  That  the  Secretary  of  War  is  empowered  to  enlist,  or  cause  to  be  enlisted, 
as  many  privates  of  the  Hospital  ('orps  as  the  service  may  require,  and  to  limit  or  fix 
the  nimiber,  and  make  such  regulations  for  their  government  as  may  be  necessary; 
and  any  enlisted  man  in  the  Army  shall  be  eligible  for  transfer  to  the  Hospital  Corps 
as  a  private.  They  shall  perform  duty  as  wardmasters,  cooks,  nurses,  and  attend- 
ants in  hospitals,  and  as  stretcher  bearers,  litter  bearers,  and  ambulance  attendants 
in  the  field,  and  such  other  duties  as  may  by  proper  authority  be  required  of  them. 

Sec.  6.  That  *  *  *  privates  of  the  Hospital  Corps  *  *  *  shall  be  entitled 
to  the  same  allowances  as  a  corporal  of  the  arm  of  service  with  which  on  duty. 

Sec  7.  That  privates  of  the  Hospital  Corps  may  be  detailed  as  acting  hospital 
stewards  by  the  Secretary  of  War,  upon  the  recommendation  of  the  Surgeon  General, 
whenever  the  necessities  of  the  service  require  it;  *  *  *.  Acting  hospital 
stewards,  when  educated  in  the  duties  of  the  position,  may  be  eligible  for  examination 
for  appointment  as  hospital  stewards  as  above  provided. 

(o)  Section  18  of  the  act  approved  February  2,  1901   (31  Stats,, 
753),  fixed  the  number  of  hospital  stewards  at  300  and  provided: 

That  men  who  have  served  as  hospital  stewards  of  volunteer  regiments  or  acted  in 
that  capacity  during  and  since  the  Spanish-American  War  for  more  than  six  months 
may  be  appointed  hospital  stewards  in  the  Regular  Army:  And  provided  further, 
That  all  men  so  appointed  shall  be  of  good  moral  character  and  shall  have  passed  a 
satisfactory  mental  and  physical  examination. 

(h)  The  act  of  March  2,  1903  (32  Stats.,  930),  defuies  the  present 
status  of  the  corps  as  follows: 

That  hereafter  the  Hospital  Corps  of  the  United  States  Army  shall  consist  of  ser- 
geants first  class,  sergeants,  corporals,  privates  first  class,  and  privates;  the  rank 
*  *  *  of  sergeants  first  class,  sergeants,  and  privates  first  class  shall  be  as  now 
provided  by  law  for  hospital  stewards,  acting  hospital  stewards,  and  privates  of  the 
Hospital  Corps;  *  *  *.  That  the  Secretary  of  War  is  authorized  to  organize  com- 
panies of  instruction,  ambulance  companies,  field  hosjntals,  and  other  detachments 
of  the  hospital  Corps  as  the  necessities  of  the  service  may  require. 


26  MANUAL    FOR    THE    MEDICAL    DEPARTMENT, 

MASTER     HOSPITAL     SERGEANTS,     HOSPITAL     SERGEANTS,     SERGEANTS, 
FIRST   CLASS,    AND    SERGEANTS. 

34.  An  application  for  appointment  as  master  hospital  sergeant 
hospital  sergeant,  sergeant  first  class,  or  sergeant  must  be  accom- 
panied by  an  affidavit  statmg  whether  or  not  the  appUcant  is  married. 

Applications  from  commands  under  the  immediate  supervision  of 
the  War  Department  will  be  forwarded  direct  to  the  Surgeon 
General.  Applications  from  other  posts  or  commands  will  be  for- 
warded: (1)  If  for  appomtment  as  master  hospital  sergeant,  hos- 
pital sergeant,  or  sergeant  first  class,  through  the  department  sur- 
geon to  the  Surgeon  General;  and  (2)  if  for  appointment  as  sei-geant, 
to  the  department  surgeon. 

(a)  Api>ointments  of  married  men  to  the  grades  of  master  hos- 
pital sergeant,  hospital  sei^geant,  sei^eant  first  class,  and  sergeant 
will  be  made  only  with  the  understanduig  that  the  applicant  will 
be  entitled  to  no  special  consideration  on  account  of  his  mairtal 
condition.     (6^.  M.  M.  D.,  No.  1.) 

35.  Examinations  for  aj>pomtment  to  these  grades  are  conducted 
by  boards  of  medical  officers  conformably  to  the  provisions  of  Army 
Regulations.  The  examinations  will  be  both  oral  and  practical,  and 
written.  They  will  embrace  the  same  subjects  for  all  the  grades,  the 
higher  the  grade  the  more  difficult  the  examination. 

(a)  Examinations  for  appointment  to  the  grades  of  master  hos- 
pital sergeant,  hospital  sergeant,  and  sergeant  first  class  at  all  posts, 
and  for  appointment  to  the  grade  of  sergeant  ui  commands  directly 
under  the  War  Department,  wiU  be  held  at  such  times  as  may  be 
designated  by  the  Surgeon  General.  The  questions  for  the  written 
examinations  will  be  prepared  in  his  ofiice. 

(6)  Examinations  for  appomtment  to  the  grade  of  sergeant, 
except  in  commands  dnectly  under  the  War  Department,  will  be 
held  under  the  direction  of  department  surgeons  whenever  they  deem 
the  same  necessary  (generally  once  or  twice  a  year)  without  pre- 
vious reference  to  the  Surgeon  General.  The  questions  for  the 
written  examinations  will  be  prepared  by  the  department  surgeons. 

(c)  The  examining  board  will  investigate  and  report  upon  the 
candidate's  qualifications  under  the  following  heads:  (1)  Physical 
condition;  (2)  character  and  habits,  especially  as  to  the  use  of  stimu- 
lants and  narcotics;  (3)  discipline  and  control  of  men;  (4)  knowledge 
of  regidations;  (5)  nursing;  (6)  dispensary  work;  (7)  clerical  work; 
(8)  principles  of  cooking,  and  mess  management;  (9)  Medical  Depart- 
ment driU;  (10)  minor  sm'gery  and  first  aid,  inchuHng  extraction  of 
teeth.  The  board  will  require  the  candidate  to  prepare  a  full  set  of 
papers  pertaining  to  the  Medical  Department,  and  to  driU  a  detach- 
ment of  the  Medical  Department  sufficiently  to  demonstrate  his 
thoroui^h  knowledije  of  tlie  drill  rciruhitious. 


MEDICAL    DEI>AIITMENT,  ITS    ORGANIZATION  AND    PERSONNEL.       27 

(d)  The  written  examination  will  embrace  the  following  subjects: 
(t)  Ai'ithmetic;  (2)  materia  medica;  (3)  pharmacy;  (4)  care  of  sick 
and  ward  management;  (5)  minor  sm-gery  and  first  aid;  (6)  elemen- 
tary hygiene.  Ten  questions  will  be  asked  in  each  subject.  Profi- 
ciency in  penmanship  and  orthography  will  be  estimated  from  the 
papers  submitted. 

(e)  The  report  of  the  examining  board  in  ihe  case  of  a  candidate 
for  appointment  as  master  hospital  sergeant,  hospital  sergeant,  or 
sergeant  first  class  will  be  forwarded  with  the  examination  papei*s 
direct  to  the  Surgeon  General,  under  whose  direction  the  papers 
will  be  marked.  In  the  case  of  a  candidate  for  appointment  as 
master  hospital  sergeant  or  hospital  sergeant  the  board  in  forwarding 
the  papers  will  report  its  opinion,  based  on  the  candidate's  past 
record  and  experience,  as  to  liis  ability,  adaptability,  and  general 
fitness  for  the  position.  The  board  wlQ  mark  the  papers  of  a  can- 
didate for  appointment  as  sergeant,  and  will  then  send  them  to  the 
department  surgeon,  or  in  the  case  of  a  command  directly  under  the 
War  Department,  direct  to  the  Surgeon  General,  with  its  report  as  to 
the  candidate's  qualifications.  If  the  report  is  made  to  a  dei^artment 
surgeon,  he  wUl,  after  taking  appropriate  action  in  the  premises,  fort- 
ward  aU  the  papers,  with  a  note  of  his  action,  to  the  Surgeon  General 
inclosing  a  copy  of  the  questions  asked  in  the  written  examination. 

(/)  The  scope  and  character  of  the  examination  for  appointment 
as  sergeant  first  class,  limited  warrant,  or  sergeant,  limited  war- 
rant, win  be  prescribed  by  the  Surgeon  General  from  time  to  time 
as  occasion  requues.  In  forwarding  its  report  the  board  will  recom- 
mend whether  the  candidate  should  be  appointed. 

(g)  Eligibility  for  appointment  to  these  grades  in  the  case  of 
candidates  who  qualify  wiU  continue  for  one  year  from  the  dates  of 
their  examinations  respectively.     (C.  M.  M.  D.,  No.  1.) 

36.  Master  hospital  sergeants,  hospital  sergeants,  sergeants  first 
class,  and  sergeants  may  be  reenUsted  in  their  respective  grades,  on 
the  authority  of  the  Surgeon  General,  subject  to  the  conditions  pre- 
scribed in  Army  Regulations, 

(a)  A  sergeant  first  class  who  desires  to  reenlist  will  report  that  fact, 
through  medical  channels,  to  the  Surgeon  General,  at  least  60  days 
before  the  termination  of  his  active  service  with  the  organization  under 
his  current  enhstment.  A  reexamination  will  be  held  before  first  re- 
enlistment  if  the  appUcant  has  served  for  more  than  one  year  in  the 
grade.  In  case  an  applicant  has  served  for  less  than  one  year  in  this 
grade,  the  examination  may  be  waived  by  the  Surgeon  General,  pro- 
vided the  detachment  commander  and  the  department  surgeon  having 
supervision  over  it  concur  in  the  statement  that  he  has  performed  his 
duties  efficiently.  In  case  examination  has  been  waived  before  first 
reenhstment,  it  will  always  be  held  before  the  second  reenhstment. 
No  examination  on  subsequent  reenlistments  will  ordinarily,  bejiqld 


28  MANUAL   FOR   THE    MEDICAL    DEPARTMENT. 

unless,  in  the  judgment  of  the  Surgeon  General,  the  interests  of  the 
service  require  it. 

(6)  Examinations  for  reenhstmeiit  in  the  grades  of  muster  hos- 
pital sergeant,  hospital  sergeant,  and  sergeant  are  not  required. 
(C.  M.  M.  D.,  No.  1.) 

ACTING    COOKS. 

37.  The  act  of  Confess  approved  May  11,  1908  (35  Stats.,  109), 
providing  for  acting  cooks  for  the  Hospital  Corps,  is  regarded  as 
having  established  a  new  grade  in  that  corps. 

(a)  Actmg  cooks  are  not  enhsted  as  such.  Under  authority 
granted  by  the  Surgeon  General,  in  accordance  with  the  provisions 
of  paragraph  38,  an  officer  commanding  any  hospital  or  otlier  sani- 
tary formation  may  appoint  acting  cooks  by  promotion  from  among 
the  privates  first  class  or  privates  on  duty  therein. 

(6)  An  acting  cook  may  be  reduced  for  inefficiency  or  misconduct 
at  the  discretion  of  such  officer,  but  acting  cooks  who  were  pro- 
moted from  the  grade  of  private  first  class  will  not  be  reduced  to 
the  grade  of  private  except  by  order  of  a  department  surgeon,  the 
Surgeon  General,  or  by  sentence  of  a  court-martial. 

38.  Acting  cooks  are  authorized  in  the  proportion  of  not  to  exceed 
6  per  cent  of  the  total  enlisted  strength  of  the  Hospital  Corps.  The}^ 
will  be  authorized  and  assigned  by  the  Surgeon  General  to  hospitals 
and  other  sanitary  formations  where  needed  as  are  sergeants,  Hos- 
pital Corps. 

(a)  In  general  it  is  considered  tliat  one  cook  is  sufficient  for  a  mess 
of  50  persons  or  major  fraction  thereof. 

CORPORALS. 

39.  The  appointment  of  corporals  and  lance  corporals  of  the  Hos- 
pital Corps  is  governed  by  Army  Regulations. 

ENLISTMENTS    IN   AND   TRANSFERS    TO    THE    CORPS. 

40.  Medical  officers  will  not  make  enlistments  or  reenlistments  for 
the  Hospital  Corps  without  obtaining  special  authority  from  the  bur- 
geon General  of  the  department  surgeon.  Department  surgeons  are 
authorized  to  enfist  for  the  Hospital  Corps  up  to  the  regular  allowance 
of  their  respective  departments  without  reference  to  the  Surgeon 
General.  They  may  also  authorize  reenfistments  of  privates,  pri- 
vates first  class,  lance  corporals,  corporals,  and  sergeants,  serving 
within  their  respective  departments.     (See  Army  Regulations.) 

(a)  Contract  surgeons  can  not  make  eidistments,  as  the  oath  must 
be  administered  by  a  commissioned  officer. 

(6)  The  enfistment  papers  of  all  men  enlisting  or  reenlisting  in  the 
Hospital  Corps  will  be  forwarded  direct  to  The  Adjutant  Goiicral  of 
the  Anny. 

41.  When  a  man  is  enlisted  for,  reenlisted  in,  or  transferred  to,  the 
Hospital  Corps  the  nuMlical  oflicc^r  who  fii-st  receives  tlie  soMier  will 


MEDICAL   DEPAETMENT,  ITS  OEGANIZATION  AND   PERSONNEL.       29 

forward  a  copy  of  his  descriptive  and  assignment  card,  or  in  the 
absence  of  such  card  a  copy  of  his  descriptive  Ust,  direct  to  the  Sur- 
geon General. 

ENLISTED   ASSISTANT   TO   THE   DENTIST. 

42.  The  enhsted  assistant  to  the  dentist  will  be  attached  to  the 
detacliinent  of  the  Hospital  Corps.  He  will  be  regarded  as  being 
under  special  instruction  while  on  duty  with  the  dentist  and  will  not 
be  required  to  attend  other  instruction. 

DUTIES    OF    NONCOMMISSIONED   OFFICERS. 

43.  The  duties  of  noncommissioned  officers  of  the  Hospital  Corps 
are  to  maintain  disciplhie  in  hospitals  and  watch  over  their  general 
police;  to  supervise  the  duties  and  assist  in  the  instruction  of  the 
members  of  the  Hospital  Corps  in  hospital  and  in  the  field;  to  look 
after  and  distribute  hospital  stores  and  supphes ;  to  care  for  hospital 
property;  to  compound  medicines;  to  prepare  reports  and  returns; 
and  to  perform  such  other  duties  as  may,  by  proper  authority,  be 
required  of  them. 

ASSIGNMENT    TO    DUTY. 

44.  Sergeants  first  class.  Hospital  Corps,  are  assigned  to  duty  by 
the  War  Department  on  the  recommendation  of  the  Surgeon  General. 
Other  members  of  the  Hospital  Corps  are  assigned  to  duty  by  the 
department  commander  on  recommendation  of  the  department  sur- 
geon, except  at  independent  posts,  where  all  assignments  are  made  by 
the  War  Department.  In  the  Philippine  Department,  in  the  Hawaiian 
Department,  and  in  the  Canal  Zone,  all  members  of  the  Hospital  Corps 
are  assigned  by  the  department  commander. 

CHANGES    OF    STATION    OR    STATUS. 

45.  During  time  of  peace  all  changes  in  the  personnel  of  the  Hos- 
pital Corps  by  enlistment,  discharge,  death,  desertion,  etc.,  and  all 
changes  m  the  stations  of  its  members  by  departure  for,  or  arrival 
from,  another  post  or  command,  will  be  reported  at  once,  and  such 
other  changes  from  the  status  of  duty  at  post  or  with  the  command  as 
may  affect  their  availability  for  transfer  or  detached  service,  as  sick- 
ness, confinement,  furlough  or  absence  without  leave,  lasting  as  long 
as  ten  days,  will  be  reported  on  the  tenth  day  and  again  upon  return 
to  a  duty  status,  by  the  officer  commanding  the  detachment  or  Medi- 
cal Department  organization. 

(«)  In  cases  of  discharge  the  report  will  show,  first,  the  soldier's 
character  given  on  discharge;  second,  objections  to  his  reenUstment, 
if  there  are  any,  otherwise  the  fact  that  there  are  none;  third,  his 
physical  condition,  good  or  poor;  fourth,  whether  he  is  single  or  mar- 
ried; fifth,  his  mail  address;  and  sixth,  such  other  information  as 
may  be  pertinent. 

(b)  In  all  cases  the  particulars  of  the  changes  reported  will  be  indi- 
cated in  full. 


30  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

(c)  From  independent  posts  and  stations  these  reports  will  be  for- 
warded direct  to  the  Surgeon  General.  In  other  cases  they  will  be 
forwarded  in  duplicate  to  the  department  surgeon  who  will  send  the 
original  without  delay  to  the  Surgeon  General  and  retain  the  carbon 
copy  for  his  own  records. 

46.  Whenever  in  time  of  peace  a  soldier  of  the  Hospital  Corps  is 
transferred  from  one  station  to  another  the  surgeon  of  his  old  station 
will  make  an  efficiency  report  of  the  soldier  on  Form  80  and  attach  it 
to  the  descriptive  list  forwarded  to  the  surgeon  of  the  soldier's  new 
station.  A  duplicate  of  the  report  will  be  attached  to  the  retained 
descriptive  list. 

CLOTHING  AND   EQUIPMENTS. 

47.  The  clothing  allowances  of  enlisted  men,  including  soldiers  of 
the  Hospital  Corps,  are  prescribed  in  War  Department  orders  published 
from  time  to  time.    (See  Appendix:  Clothing  and  Equipnfient.) 

(a)  White  duck  clothing  as  issued  by  the  Quartermaster  Corps 
should  be  worn  by  Hospital  Corps  men  on  duty  in  the  wards,  dis- 
pensaries, post-mortem  rooms,  operating  rooms,  messrooms,  and 
kitchens  of  hospitals;  also  by  Hospital  Corps  men  on  duty  as  assistants 
to  dental  surgeons.  White  clothing  soiled  while  on  such  duty  may  be 
included  in  the  hospital  laundry  (par.  267). 

(h)  Medical  officers  when  transferring  members  of  the  Hospital 
Corps  from  one  station  or  command  to  another  will  transmit  with  the 
descriptive  list  of  each  man  a  statement  showing  the  sizes  of  his  cloth- 
ing as  kept  on  file  at  his  old  station.  (See  Appendix:  Clothing  and 
Equii^ment.) 

48.  When  a  soldier  of  the  Hospital  Corps  is  transferred  from  one 
post  or  command  to  another  (except  as  noted  in  (a)  and  (6)  of  this 
paragraph)  no  articles  of  public  property,  other  than  the  necessary 
clothing,  will  be  transferred  with  him  unless  ordered  by  the  authority 
directing  the  soldier's  transfer. 

(a)  In  the  case  of  soldiers  of  the  Hospital  Corps  ordered  on  field 
service,  the  equipment  to  be  taken  is  usually  prescribed  in  the  order 
directing  the  movement.  When  not  so  prescribed  the  equipment 
transferred  with  the  soldier  will  be  that  specified  in  paragraph  865a. 

(6)  The  articles  of  individual  equipment  to  be  carried  by  members  of 
the  Hospital  Corps  en  route  to  or  from  the  Philippine  Islands  are  pre- 
scribed in  general  orders.     (See  Appendix :  Hospital  Covps.) 

49.  Articles  of  personal  equipment,  belonging  to  the  Medical  De- 
partment, which  a  detached  soldier  carries  with  him,  will  be  listed 
upon  duplicate  invoice  blanks,  Form  28,  each  invoice  being  signed 
by  the  issuing  officer,  and  by  the  soldier  acknowledging  receipt  of  the 
property.  The  invoices  will  when  practicable  indicate  the  soldier's 
destination.    One  of  them  will  be  forwarded  with  the  soldier's  de- 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       31 

scriptivo  list  or  descriptive  and  assignment  card,  upon  which  a 
remark  will  be  made  that  it  is  so  accompanied,  as  ''Invoice  here- 
with of  medical  property  in  the  soldier's  possession";  the  other  will 
be  forwarded  at  once  by  the  issuing  officer  direct  to  the  Surgeon 
General.  The  issuing  officer  will  drop  from  his  return  the  articles 
thus  transferred,  which  will  be  taken  up  by  the  officer  to  whom  the 
soldier  reports.  The  latter  officer  will  execute  duplicate  receipts 
therefor  on  Form  28  (naming  therein  the  soldier  with  w^hom  the 
articles  were  received),  one  of  which  he  will  forward  at  once  direct 
to  the  Surgeon  General  and  the  other  to  the  issuing  officer,  filing 
with  his  retained  papers  the  invoice  which  accompanied  the  descrip- 
tive list  or  descriptive  and  assignment  card.  (For  general  rule  gov- 
erning transfers  of  medical  property  see  par.  496  et  seq.  For 
medical  property  transferred  with  sick  see  par.  228.) 

(a)  Ordnance  property  transferred  in  the  possession  of  enlisted 
men  will  be  accounted  for  as  prescribed  in  Army  Regulations. 

RETURN   OF  THE  HOSPITAL   CORPS. 

50.  This  return  will  be  rendered  bimonthly  for  sanitary  troops  in 
garrison,  upon  Form  47  (for  the  periods  ending  Jan.  31,  Mar.  31,  May 
31,  July  31,  Sept.  30,  and  Nov.  30,  respectively),  and  monthly  for 
sanitary  troops  in  the  field,  upon  Form  47a,  by  the  immediate  com- 
manding officer  of  every  sanitary  formation,  and  will  be  forwarded 
through  medical  channels  to  the  Surgeon  General  within  five  days  after 
the  close  of  its  period.  A  final  return  will  be  made  upon  the  breaking 
up  of  each  such  sanitary  formation. 

CONTRACT    SURGEONS. 

61.  Extract  from  the  act  of  February  2, 1901,  section  18  (31  Stats., 

752): 

That  in  emergencies  the  Surgeon  General  of  the  Army,  with  the  approval  of  the 
Secretary  of  War,  may  appoint  as  many  contract  surgeons  as  may  be  necessary,  at  a 
compensation  not  to  exceed  $150  per  month. 

62.  Contracts  with  private  physicians  are  entered  into  only  by  the 
Surgeon  General  or  by  his  authority.  They  are  either  general  or 
special. 

.(a)  General  contracts  will  be  made  on  Form  44;  special  on  Form 
44a.  If  made  by  the  Surgeon  General  himself  they  w^ill  be  executed 
in  triplicate,  one  number  for  the  physician,  the  other  two  for  the 
Surgeon  General  and  the  Auditor  for  the  War  Department.  When 
the  contract  is  made  by  another  officer  a  fourth  number  should  be 
executed  to  be  retained  by  him. 

(b)  Contracts  will  be  annulled  only  in  conformity  with  their  stipu- 
lations. 


32  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

53.  A  general  contract  obligates  the  contract  surgeon  to  take 
station  and  change  station  as  ordered.  He  is  furnished  quarters  at 
the  miUtary  post  where  he  is  stationed,  and  is  expected  to  give  his 
enth-e  time  to  the  pubhc  service.  He  receives  pay  as  stipulated  in 
the  contract,  and  the  travel,  fuel,  and  light  allowances  of  a  first 
lieutenant.  Under  existing  law  it  is  not  the  policy  of  the  department  to 
make  or  authorize  general  contracts  except  in  extraordinary  cases, 
and  upon  a  full  exhibition  of  the  necessity  thereof.  If  the  exigency 
requiring  the  employment  of  a  contract  surgeon  is  likely  to  be  tem- 
porary the  contract  will  be  made  for  a  term  of  three  months  only  or 
less.  If  its  longer  continuance  is  probable  the  term  will  usually  be 
one  year.  In  either  event  it  is  subject  to  annuhnent  when  the 
services  of  the  physician  are  no  longer  requked. 

(a)  Short-term  general  contracts  may  be  made  with  any  graduate 
of  a  reputable  medical  school  legally  authorized  to  confer  the  degree 
of  doctor  of  medicine,  who  has  qualified  to  practice  medicine  in  the 
State  or  Territory  in  which  he  resides.  Appropriate  evidence  that 
he  has  so  qualified  should  be  required  before  the  contract  with  hmi  is 
executed. 

(b)  Long-tenn  general  contracts  will  be  made  only  with  such 
graduate  and  qualified  practitioners,  who  are  citizens  of  the  United 
States,  after  they  shall  have  passed  an  appropriate  examination  as  to 
their  physical  and  professional  qualifications  for  the  military  service. 
Applications  for  employment  under  such  contracts  will  be  made  to 
the  Surgeon  General,  who  will  furnish  blanks  for  the  purpose  upon 
request.  They  will  be  considered  only  as  the  exigency  requiring  the 
appointment  of  a  contract  surgeon  shall  arise.  They  must  in  each 
case  be  accompanied  by  testimonials  from  at  least  two  reputable 
persons  as  to  the  applicant  s  citizenship,  character,  and  habits,  and 
by  a  certificate  from  the  proper  local  official  that  the  applicant  has 
qualified  to  practice  medicine  in  the  State  or  Territory  where  he 
resides.  Should  the  application  be  favorably  considered,  the  appli- 
cant will  at  the  proper  time  be  invited  to  appear  before  the  examining 
board  at  the  place  most  convenient  for  him.  No  allowances  will  be 
made  for  his  expenses  while  undergoing  examination.  The  examina- 
tions will  be  conducted,  under  instructions  from  the  Surgeon  General, 
by  boards  of  one  or  more  officers  of  the  Medical  Corps  convened 
therefor  at  military  posts  or  stations.  Upon  presenting  himself  to 
the  board  the  applicant  should  submit  his  diploma,  and  evidence  of 
his  citizenship  (if  of  foreign  bu^h),  which  will  be  returned  to  him 
upon  the  conclusion  of  the  examination.  Having  insjiected  his 
diploma  and  the  evidence  of  his  citizenship,  the  board,  if  the  same 
are  found  satisfactory,  will  then  make  a  thorough  physical  examma- 
tion  of  the  applicant,  wliich  must  conform  in  all  respects  to  tliat 
required  of  candidates  for  connuission  in  the  Medical  Corps.     If  any 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       33 

physical  disqualification  for  the  service  is  found  the  examination  will 
be  discontinued.  The  board  will  report  the  physical  examination  on 
the  form  provided  therefor.  Should  no  physical  disqualification  be 
found,  the  board  will  next  proceed  with  a  professional  examination 
of  the  applicant  similar  to  that  prescribed  in  the  case  of  applicants  for 
appointment  in  the  Medical  Reserve  Corps  (par.  16c).  It  will  make 
a  full  report  of  the  examination  of  each  applicant  and  forward  all  the 
papers  connected  therewith  direct  to  the  Surgeon  General.  If  the 
examination  is  satisfactory  a  contract  will  m  due  season  be  sent  the 
applicant  for  signature. 

54.  Special  contracts  are  for  local  service  only,  at  stations  therein 
designated,  as,  for  example,  at  arsenals,  where  the  amount  of  service 
called  for  is  not  usually  suflacient  to  warrant  the  assignment  thereto  of 
a  medical  officer.  No  travel  imder  such  contracts  is  required.  Tlie 
physician  contracted  with  is  neither  expected  to  take  station  at  the 
post  nor  to  give  up  his  private  practice,  except  in  so  far  as  he  has  to 
do  so  in  order  to  carry  out  his  public  duties.  He  is  not  furnished 
quarters  or  other  allowances,  and  his  pay  proper  constitutes  his  entire 
compensation. 

(a)  Special  contracts  may  be  made  with  any  graduate  of  a  reputable 
medical  school,  legally  authorized  to  confer  the  degree  of  doctor  of 
medicine,  who  is  a  citizen  of  the  United  States  and  has  qualified  to 
practice  medicine  in  the  State  or  Territory  in  which  he  resides. 
Appropriate  evidence  that  he  is  a  citizen  of  the  United  States,  and 
that  he  has  qualified  to  practice  as  above,  should  be  required  before 
the  contract  with  him  is  executed. 

PERSONAL  REPORTS. 

55.  Contract  surgeons  will  render  personal  reports  similar  to  those 
made  by  officers  of  the  Medical  Corps  under  paragraphs  12  and  13. 

NURSE    CORPS. 

56.  Extract  from  the  act  of  February  2,  1901  (31  Stats.,  753): 

Sec.  19.  That  the  Nurse  Corps  (female)  shall  consist  of  one  superintendent,  to  be 
appointed  by  the  Secretary  of  War,  who  shall  be  a  graduate  of  a  hospital  training 
school  ha^ing  a  coiu-se  of  instruction  of  not  less  than  two  years,  whose  term  of  office 
may  be  terminated  at  his  discretion,  whose  compensation  shall  be  one  thousand  eight 
hundred  dollars  per  annum,  and  of  as  many  chief  nurses,  nurses,  and  reserve  nurses 
as  may  be  needed.  Reserve  nurses  may  be  assigned  to  active  duty  when  the  emer- 
gency of  the  service  demands,  but  shall  receive  no  compensation  except  when  on  such 
duty:  Provided,  That  all  nurses  in  the  Nurse  Corps  shall  be  appointed  or  removed  by 
the  Surgeon  General,  -^vith  the  approval  of  the  Secretary  of  War;  that  they  shall  be 
graduates  of  hospital  training  schools,  and  shall  have  passed  a  satisfactory  professional, 
moral,  mental,  and  physical  examination:  And  provided,  That  the  superintendent  and 
nurses  shall  receive  transportation  and  necessary  expenses  when  traveling  under 
orders;  that  the  pay  and  allowances  of  nurses,  and  of  reserve  nurses  when  on  active 
93440°— 17 3 


34  MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 

Bervice,  shall  be  forty  dollars  per  month  when  on  duty  in  the  United  States  and  fifty 
dollars  per  month  when  on  duty  without  the  limits  of  the  United  States.  They  shall 
be  entitled  to  quarters,  subsistence,  and  medical  attendance  during  illness,  and  they 
may  be  granted  leaves  of  absence  for  thirty  days,  with  pay,  for  each  calendar  year; 
and,  when  serving  as  chief  nurses,  their  pay  may  be  increased  by  authority  of  the 
Secretary  of  War,  such  increase  not  to  exceed  twenty -five  dollars  per  month.  Pay- 
ments to  the  Nurse  Corps  shall  be  made  by  the  Pay  Department. 

(a)  The  foregoing  was  modified  by  the  terms  of  the  act  of  March  23, 
1910  (36  Stats.,  249),  as  follows: 

The  superintendent  and  members  of  the  Female  Nurse  Corps  shall  hereafter  be  paid 
at  the  following  rates:  Superintendent  Nurse  Corps,  one  thousand  eight  hundred 
dollars  per  annum;  female  nurses,  fifty  dollars  per  month  for  the  first  period  of  three 
years'  service;  fifty -five  dollars  per  month  for  the  second  period  of  three  years'  service; 
sixty  dollars  per  month  for  the  third  period  of  three  years'  service;  and  sixty-five 
dollarsper  month  after  nine  years' service  in  said  Niu-se  Corps;  and  all  female  nurses 
shall  hereafter  be  entitled,  in  addition  to  the  rates  of  pay  as  herein  pro\'ided,  to  ten 
dollars  per  month  when  serving  beyond  the  limits  of  the  States  comprising  the  Union 
and  the  Territories  of  the  United  States  contiguous  thereto  (excepting  Porto  Rico 
and  Hawaii),  and  to  cumulative  leave  of  absence  with  pay  at  the  rate  of  thirty  days  for 
each  calendar  year  of  service  in  said  corps;  and  when  serving  as  chief  nurses  their 
pay  may  be  increased  by  authority  of  the  Secretary  of  War,  such  increase  not  to  exceed 
thirty  dollars  per  month;  and  the  superintendent  shall  be  entitled  to  the  same 
allowances,  when  on  duty,  as  the  members  of  the  Nurse  Corps. 

(&)  Extract  from  the  act  of  March  4,  1912  (37  Stats.,  72) : 

That  the  superintendent  and  members  of  the  Female  Nurse  Corps  when  serving  in 
Alaska  or  at  places  without  the  limits  of  the  United  States  may  be  allowed  the  same 
pri\aleges  in  regard  to  cumulative  leaves  of  absence  and  method  of  computation  of 
same  as  are  now  allowed  by  law  to  Army  officers  so  serving. 

(c)  Extract  from  the  act  of  March  4,  1915  (38  Stats.,  1068): 

That  the  superintendent  shall  receive  such  allowances  of  quarters,  subsistence,  and 
medical  care  during  illness  as  may  be  prescribed  in  regulations  by  the  Secretary  of 
War. 

(d)  Extract  from  the  act  of  March  4,  1915  (38  Stats.,  1069) : 

Hereafter  at  places  where  there  are  no  public  quarters  available,  commutation  for 
the  authorized  allowance  therefor  shall  be  paid  to  *  *  *  members  of  the  Nurse 
Corps    *    *    *    at  the  rate  of  $12  per  room  per  month. 

THE  SUPERINTENDENT. 

57.  The  superintendent,  imder  the  direction  of  the  Surgeon 
General,  has  general  supervision  of  the  corps.  She  will  by  author- 
ized inspections  from  time  to  time  and  by  reference  to  the  prescribed 
reports  and  returns  keep  herself  constantly  informed  of  the  numbers, 
distribution,  and  competency  of  the  individual  members  of  the  corps, 
and  of  its  state  and  condition  as  a  whole.  She  will  communicate 
with  nurses'  training  schools,  nurses'  associations,  and  similar  pro- 
fessional bodies  with  a  view  to  ascertaining  where  acceptable  nurses 
for  Army  service  may  be  available ;  will  conduct  the  necessary  cor- 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       35 

respondence  concerning  the  qualifications  of  applicants  for  appoint- 
ment in  the  corps;  will  make  the  professional  examination  of  those 
who  shall  meet  the  required  preliminary  conditions;  and  when 
vacancies  occur  will  recommend  the  appointment  to  the  same  of 
eligible  applicants.  Shie  will  prepare  the  questions  for  the  examina- 
tion of  nurses  for  promotion  to  the  grade  of  cliief  nurse,  will  rate  the 
answers  received  thereto,  and  will  recommend  the  promotion  of  those 
found  qualified  as  their  services  shall  be  needed.  She  will  make 
timely  reconmiendations  regarding  the  assignment,  transfer,  dis- 
cipline, and  discharge  of  nurses,  and  the  reduction  and  discharge  of 
chief  nurses.  She  will  endeavor  by  all  suitable  means  within  her 
power  to  maintain  the  usefulness  of  the  corps  as  a  part  of  the  Medical 
Department  of  the  Army,  will  propose  to  the  Surgeon  General  as 
occasion  requires  appropriate  measures  for  the  promotion  of  its 
morale  and  efficiency,  and  will  perform  such  other  supervisory  duties 
as  the  Surgeon  General  shall  prescribe. 

CHIEF  NURSES,  THEIR  SELECTION,  REDUCTION,  AND  DISCHARGE. 

58.  Chief  nurses  are  not  appointed  as  such,  but  are  selected  by 
promotion  from  the  grade  of  nurse. 

(a)  When  two  or  more  nurses  are  serving  at  the  same  station 
one  will  be  assigned  to  duty  as  chief  nurse. 

59.  Permanent  assignments  to  duty  as  chief  nurse  are  made  only 
by  the  Surgeon  General,  upon  the  recommendation  of  the  superin- 
tendent. A  nurse  will  not  be  permanently  assigned  to  duty  as  chief 
nurse  imless  she  shall  have  passed  a  satisfactory  examination. 

(a)  Nurses  who  exhibit  marked  executive  ability,  good  judgment 
and  tact  will  be  recommended  to  the  Surgeon  General  by  the  com- 
manding officer  of  the  hospital  or  other  sanitary  formation  with 
which  they  are  on  duty  for  examination  for  promotion  to  the  grade 
of  chief  nurse. 

(6)  Any  nurse,  regardless  of  the  length  of  her  service,  may  request 
examination  for  promotion  to  the  grade  of  chief  nurse.  Her  request 
will  be  forwarded  to  the  Sm-geon  General  through  her  immediate 
commanding  officer  with  his  recommendations  in  the  premises,  and 
the  recommendations  of  his  chief  nurse  if  he  has  one. 

(c)  Nurses  approved  and  recommended  for  promotion  under  the 
above  provisions,  and  such  others  as  shall  be  selected  by  the  super- 
intendent, shall  be  eligible  for  examination  for  permanent  assignment 
to  duty  as  chief  nurses. 

(d)  At  such  times  as  he  may  deem  necessary  the  Surgeon  General 
will  designate  a  medical  officer  to  conduct  the  examination  of  ap- 
proved candidates.  He  will  in  due  season  transmit  lists  of  questions 
prepared  by  the  superintendent  to  the  examining  officer,  who  will 


36  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

safeguard  them  against  premature  disclosure,  will  make  sure  that 
the  candidates  receive  no  unauthorized  assistance  during  the  exam- 
ination, and  will  upon  its  conclusion  transmit  all  the  examination 
papers,  includmg  both  questions  and  answers,  to  the  Surgeon  Gen- 
eral for  his  action. 

60.  A  nurse  permanently  assigned  to  duty  as  chief  nurse  will  not 
ordinarily  be  relieved  therefrom  except  by  direction  of  the  Surgeon 
General;  but  in  case  of  serious  misconduct  she  may  be  summarily 
relieved  and  assigned  to  duty  as  nurse  pendmg  such  further  meas- 
ures of  discipline  as  may  be  deemed  necessary.  If  for  any  other 
reason  the  services  of  a  permanent  chief  nurse  are  no  longer  required 
as  such  the  commanding  officer  of  the  hospital  or  other  sanitary 
formation  may  temporarily  relieve  her  from  duty  as  chief  nurse  and 
assign  her  to  duty  as  nurse;  or  if  she  so  elects  she  may  be  honorably 
discharged  from  the  corps.  All  reductions  from  chief  nurse  to  nurse 
for  whatever  cause  will  be  at  once  reported  to  the  Surgeon  General, 
with  a  full  statement  of  the  reasons  for  the  action  taken. 

61.  Pending  the  permanent  assignment  of  a  chief  nurse  the  com- 
manding officer  of  the  hospital  or  other  sanitary  formation  where 
two  or  more  nurses  are  serving  may  assign  one  of  them  temporarily 
to  duty  as  chief  nurse.  A  nurse  so  assigned  shall  be  known  as 
''temporary  chief  nurse"  and  shall  hold  such  assignment  only  so 
long  as  no  properly  qualified  permanent  chief  nurse  is  available. 
While  serving  under  such  assignment  she  shall  be  entitled  to  the 
same  pay  and  allowances  she  would  receive  if  she  were  a  permanent 
chief  nurse. 

(a)  Temporary  chief  nurses  may  be  relieved  from  duty  as  such 
and  assigned  to  duty  as  nurses  at  the  discretion  of  their  immediate 
commanding  officers. 

APPOINTMENT   OF   NITRSES. 

62.  Applications  for  appointment  in  the  Nurse  Corps  should  be 
made  to  the  superintendent,  who  will  furnish  blanks  therefor. 

(a)  An  apphcant  for  first  appointment  must  be  between  25  and 
35  years  of  age  and  unmarried.  If  not  a  citizen  of  the  United  States, 
she  must  before  appomtment  make  a  declaration  of  her  intention  to 
become  such,  and,  if  she  wishes  to  continue  in  the  Nurse  Corps, 
must  at  the  proper  time  take  out  final  naturalization  papers. 

(6)  Applications  from  States  and  Territories  where  registration  is 
required  by  law  will  be  considered  in  the  cases  only  of  graduates  of 
training  schools  which  are  acceptable  to  the  State  or  Territorial  boards 
of  registration.  In  making  appointments  from  among  eligible  appli- 
cants residing  in  such  States  and  Territories  preference  will  be  given 
to  those  who  are  registered.  'U  ' '  •" 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEl,.       87 

(c)  Nurses  who  have  had  previous  service  in  the  Army  Nurse 
Corps  and  are  otherwise  acceptable  will  be  given  preference  for 
appointment  over  new  nurses  who  qualify  for  the  corps. 

63.  Physical  qualifications. — ^The  applicant's  physical  fitness  for 
service  will  be  ascertained  by  a  careful  physical  examination.  The 
examination  will  be  made  when  practicable  by  a  medical  officer  of 
the  Ai-my  at  his  proper  station.  When,  however,  this  would  require 
the  applicant  to  make  an  unreasonably  long  journey,  the  Surgeon 
General  may  authorize  her  examination  by  a  private  physician  of 
good  repute  in  the  vicinity  of  her  residence.  The  applicant  must  be 
not  less  than  60  inches  nor  more  than  70  inches  in  height;  and  must 
weigh  not  less  than  100  pounds,  nor  more  than  195  pounds.  Marked 
disproportion  between  height  and  weight  will  be  a  cause  of  rejection. 
The  medical  examiner  will  send  his  report  direct  to  the  superintendent 
and  not  give  it  to  the  applicant.  Its  contents  will  be  regarded  as 
confidential.     (See  also  par.  74a.) 

64.  Moral,  professional,  and  mental  qualifications. — ^An  applicant 
will  not  be  eligible  for  appointment  in  the  Nurse  Corps  unless  she 
shall  have  graduated  from  a  training  school  for  nurses  giving  a 
thorough  professional  education,  both  theoretical  and  practical,  and 
requiring  a  residence  of  at  least  two  years  in  an  acceptable  general 
hospital  of  100  beds  or  more;  except  that  graduates  of  .training 
schools  connected  with  hospitals  not  meetmg  the  above  requirements 
may,  upon  submitting  proof  of  at  least  six  months'  subsequent 
experience  in  a  large  general  hospital,  be  put  on  the  eligible  list  if 
found  othei-wise  qualified.  To  ascertain  the  apphcant's  qualifica- 
tions the  superintendent  of  the  Nurse  Corps  will  request  a  certificate 
from  the  superintendent  of  the  school  from  which  the  applicant 
graduated,  showmg:  (1)  The  date  of  the  apphcant's  graduation; 
and  (2)  her  moral  character  and  professional  qualifications  durmg 
her  period  of  trainmg,  at  the  date  of  her  graduation,  and  (so  far  as 
known)  at  the  time  of  the  apphcation.  If  the  applicant  was  trained 
under  a  former  superintendent,  the  latter  may  also  be  asked  for  a 
certificate.  These  certificates  will  be  regarded  as  confidential. 
Apphcants  must  submit  such  other  evidence  of  fitness  as  may  be 
required. 

{a)  The  professional  and  mental  examination  of  applicants  will  be 
in  writing  and  wiU  be  conducted  by  the  supermtendent.  It  will 
ordmarily  take  the  form  of  requiring  from  the  candidates  short  essays 
or  papers  on  practical  professional  subjects  selected  by  the  superm- 
tendent. The  subjects  selected  will  be  furnished  to  each  appHcant 
with  her  application  blanks,  and  she  wiU  submit  her  essay  with  her 
formal  application.  The  essay  must  be  hi  the  handwriting  of  the 
applicant.     Typewritten  papers  will  not  be  accepted. 


38  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

66.  Applicants  wlio  fulfill  the  prescribed  conditions  as  to  their 
physical,  moral,  professional,  and  mental  qualifications  will  be  placed 
on  the  eligible  list  for  appointment  as  their  services  may  be'requhed. 

66.  No  applicant  will  be  appointed  unless  she  shall  agree  to  serve 
for  three  years. 

67.  A  nurse  who  desires  to  contmue  in  the  corps  after  three  years' 
service  therein  will  apply  for  continuation  of  service  by  letter  for- 
warded at  least  four  months  before  the  end  of  the  three  years  to  the 
Surgeon  General,  through  the  commanding  officer  of  the  hospital  or 
other  sanitary  formation  to  which  she  is  attached,  who  will  forward 
therewith  his  recommendations  m  the  premises  and  the  recommenda- 
tions of  the  chief  nurse.  If  the  recommendations  of  her  commanding 
officer  are  unfavorable  the  nurse  will  be  promptly  notified  of  that 
fact.  To  obtain  favorable  action  on  such  application  the  nurse 
must  have  had  a  satisfactory  record  for  efficiency  and  conduct. 
The  superintendent  of  the  Nurse  Corps  will  advise  the  Surgeon 
General  whether  the  applicant's  record  is  such  as  to  make  her  con- 
tinuance in  the  corps  desirable.  Due  notice  will  be  given  to  the  apph- 
cant  and  officers  concerned  of  the  action  taken  upon  the  application. 

(a)  A  similar  procedure  for  continuation  of  service  will  be  followed 
toward  the  end  of  every  period  of  three  years  of  continuance  in  the 
corps.   . 

DISCHARGE. 

68.  A  nurse  who  fails  to  apply  for  continuation  of  service  as  pro- 
vided in  paragraph  67,  or  whose  continuance  in  the  service  is  not 
authorized  by  the  Surgeon  General,  will  be  discharged  on  or  about 
the  expiration  of  the  three-year  period  in  which  she  is  serving,  making 
due  allowance  for  accrued  leave  of  absence;  the  period  of  three 
years,  six  years,  nine  years,  etc.,  as  the  case  may  be,  to  be  calculated 
from  the  date  of  her  letter  of  appointment:  Provided,  That  a  nurse 
under  orders  to  proceed  to  her  home  to  await  discharge  will  not  be 
discharged  until  she  shall  have  arrived  home,  or  shall  have  had 
sufficient  time  to  arrive  home  by  following  the  usual  route  of  travel 
with  ordinary  dihgence.  Nurses  may  also  by  order  of  the  Surgeon 
General  be  discharged  at  any  time,  regardless  of  the  three-year 
periods,  making  due  allowances  for  accrued  leaves  of  absence: 
(1)  Because  of  their  reduction  from  the  grade  of  chief  nurse  (see 
par.  60);  (2)  because  of  a  reduction  of  the  military  establishment 
or  a  decrease  in  the  number  of  sick  requiring  nursing  which  makes 
their  further  employment  unnecessary;  (3)  because  of  then*  own 
illness  disabling  them  from  the  performance  of  their  duties  (see  par. 
87);  (4)  because  of  their  unsuitabifity  for  the  military  service; 
(5)  because  of  their  own  misconduct;  and  (6)  in  proper  cases  on 
their  own  application. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       39 

(a)  Honorable  discharges  will  be  given  in  all  cases  except  to 
nurses  discharged  for  misconduct  or  to  those  whose  resignations  are 
accepted  conformably  to  the  provisions  of  paragraph  70a. 

(&)  Discharges  will  be  executed  by  the  commanding  officer  of  the 
hospital  or  other  sanitary  formation  to  which  the  nurses  are  attached. 

69.  Kecommendations  for  the  discharge  of  a  nurse  on  account  of 
misconduct  will  be  submitted  to  the  Surgeon  General,  with  a  report 
of  the  facts,  after  a  careful  investigation,  in  which  she  shall  have  had 
a  fair  opportunity  to  be  heard  in  her  own  defense.  The  term  ' '  mis- 
conduct" includes  the  case  of  a  nurse  who  of  her  own  motion  quits 
or  abandons  the  service  in  advance  of  discharge. 

70.  A  nurse  who,  having  served  continuously  more  than  three 
years,  desires  her  discharge,  may  obtain  the  same  upon  application 
therefor  by  letter  to  the  Surgeon  General.  If  she  is  on  duty  her 
application  will  be  forwarded  through  her  immediate  commanding 
officer;  if  she  is  on  leave  in  the  Philippine  Islands  it  will  be  forwarded 
through  the  department  surgeon;  in  other  cases  it  will  be  forwarded 
direct. 

(a)  A  nurse  who,  having  served  continuously  less  than  three  years, 
desires  her  discharge,  may  apply  therefor  by  letter  similarly  for- 
warded, stating  her  reasons  in  full.  If  these  reasons  are  sufficient 
in  the  judgment  of  the  Surgeon  General  he  may  grant  her  an  honor- 
able discharge;  if,  in  his  judgment,  they  are  not  sufficient,  he  may 
consider  her  application  a  resignation  and  accept  the  same. 

71.  Upon  honorable  discharge  from  the  service  the  following 
indorsement  wiU  be  placed  upon  the  nurse's  letter  of  appointment: 

= ,  19—. 

With  the  approval  of  the  Secretary  of  War,  and  by  order  of  the  Surgeon  General 

dated ,  the  nurse  witlun  named  is  honorably  discharged  from  the  Army  Nui'se 

Corps,  to  take  effect ,  19    . 

United  States  Army. 

(a)  If  a  nurse  is  to  be  discharged  by  acceptance  of  her  resignation, 
the  following  indorsement  wiU  be  placed  on  her  letter  of  appoint- 
ment: 

,19-. 

With  the  approval  of  the  Secretary  of  War  the  resignation  of is  ac- 
cepted to  take  effect ,  19    . 


United  States  Army. 

(6)  When  the  nurse  is  discharged  for  misconduct  the  word  "honor- 
ably" in  the  indorsement  of  discharge  will  be  omitted,  and  the  words 
"for  misconduct"  will  be  inserted  after  the  word  ''Corps." 

(c)  When  the  nurse's  letter  of  appointment  is  not  available  for 
the  indorsement  thereon  of  her  discharge  a  letter  of  discharge  of 
equivalent  purport  will  be  sent  to  her. 


40  MANUAL  FOE   THE   MEDICAL  DEPARTMENT. 

72.  Except  as  provided  in  the  following  paragraph,  orders  to  pro- 
ceed to  her  home,  there  to  await  discharge,  will  be  given  to  every 
nurse  desiring  the  same  who  is  about  to  be  discharged.  In  arranging 
travel  orders  in  such  cases  it  must  be  borne  in  mmd  that  the  Govern- 
ment will  not  pay  the  traveling  expenses  of  a  nurse  in  the  status  of 
leave  of  absence. 

(a)  When  a  nurse  arrives  home  for  discharge  she  will  at  once  report 
by  letter  to  the  Surgeon  General  inclosing  her  letter  of  appointment 
and  a  copy  of  her  official  travel  order. 

73.  Orders  to  proceed  to  her  home  will  not  be  given  (1)  to  a  nurse 
who  is  discharged  -on  her  own  request  before  the  expu'ation  of  three 
years  of  continuous  service,  except  to  a  nurse  who  is  to  be  discharged 
upon  her  own  election  because  of  reduction  from  the  grade  of  chief 
nurse;  (2)  or,  before  the  completion  of  two  years  of  continuous  serv- 
ice in  the  Philippine  Islands,  to  a  nurse  on  service  m  those  islands 
who  is  discharged  on  her  own  request,  or  who,  failing  to  apply  for 
continuation  of  service  at  the  end  of  the  three-year  period  in  which 
she  is  serving,  is  discharged  on  or  about  the  expiration  of  such  period 
conformably  to  paragraph  68;  (3)  or  to  a  nurse  who  is  discharged  for 
misconduct. 

(a)  Any  nurse,  however,  who  is  discharged  for  misconduct  while 
serving  beyond  the  continental  limits  of  the  United  States,  or  in  the 
Canal  Zone,  or  in  Alaska,  will  be  furnished  transportation  to  a  home 
port  and  allowed  the  necessary  expenses  incident  to  travel  thereto, 
provided  she  applies  for  the  same  within  30  days  of  the  date  of  her 
discharge. 

ASSIGNMENTS    AND    TRANSFERS. 

74.  Army  nurses  will  be  assigned  to  duty  at  hospitals  or  other 
sanitary  formations  in  the  United  States  or  abroad,  and  on  trans- 
ports, according  to  the  needs  of  the  service. 

(a)  At  the  station  where  a  nurse  fii'st  reports  for  duty  after  her 
appointment,  the  surgeon  will  require  her  to  undergo  a  careful  physi- 
cal examination.  A  report  of  the  same  will  be  forwarded,  on  Form 
69,  direct  to  the  Sm'geon  General.     (See  also  par.  63.) 

(6)  Usually  the  nurse's  first  assignment  will  bo  to  a  station  in  the 
United  States,  to  afford  her  an  opportunity  to  become  acquainted 
with  mihtary  usages. 

(c)  The  usual  tour  of  duty  without  the  limits  of  the  United  States 
proper  will  be  two  years. 

75.  When  nurses  are  required  for  sei-vico  with  any  organization 
of  the  Medical  Department,  the  commanding  officer  thereof  will,  by 
letter  stating  the  circumstances  and  necessities  of  the  case,  make 
application  through  the  department  surgeon  to  the  Sui-geon  General, 
or,  in  the  case  of  independent  commands,  direct  to  the  Surgeon  Gen- 
eral, for  as  many  as  mny  ])e  needed. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       41 

(a)  Should  there  be  a  surplus  of  uurses  with  any  hospital  or  other 
sanitary  formation,  the  commanding  officer  thereof  will  in  hke  man- 
ner immediately  report  the  fact  to  the  Surgeon  General.  In  the 
case  of  surplus  nurses  serving  beyond  the  hmits  of  the  United  States 
the  surgeon  of  the  forces  with  which  they  are  on  duty  will  recom- 
mend to  the  commanding  general  that  they  be  returned  to  the  United 
States.  Nurses  so  returned  will  on  arrival  at  the  home  port  report 
at  once  to  the  department  surgeon  of  the  territorial  department 
withm  the  limits  of  which  the  port  is  situated,  who  will  place  them 
on  temporary  duty  and  request  instructions  as  to  his  further  action 
in  the  premises  from  the  Surgeon  General. 

76.  A  nurse  will  not  leave  her  station  except  under  orders  or  when 
granted  a  leave  of  absence. 

(a)  When  a  nurse  leaves  her  station  under  orders  or  on  leave  of 
absence  the  commanding  officer  of  the  organization  of  the  Medical 
Department  with  which  she  has  been  on  duty  will  indorse  on  her  letter 
of  appointment  the  date  of  her  departure  and  the  date  and  source 
of  the  authority  therefor.  The  letter  of  appointment  will  be  given 
to  the  nurse,  together  with  a  copy  of  her  travel  order.  The  date  of 
arrival  at  her  new  station  or  of  return  to  duty  will  be  similarly  indorsed 
on  her  letter  of  appointment. 

(b)  When  a  nurse  leaves  her  station  under  orders  to  proceed  to 
another  station  the  surgeon  of  the  station  from  which  she  departs  will 
prepare  in  her  case  a  record  of  assignment  and  pay,  Form  66,  and 
mail  the  same  without  delay  to  the  officer  to  whom  she  is  ordered  to 
report.  Should  she  be  again  transferred  without  having  been  absent 
or  having  received  pay  at  her  new  station,  her  commanding  officer 
may,  instead  of  preparing  a  new  record,  forward  the  one  received 
by  him  to  her  next  commandmg  officer  by  indorsement  expressly 
stating  such  facts. 

77.  Nurses  will  not  be  transferred  from  one  department  to  another 
except  by  authority  of  the  Surgeon  General,  but  a  department  sur- 
geon may  transfer  nurses,  should  the  exigencies  of  the  service  require 
it,  from  one  hospital  to  another  within  his  department. 

PAY. 

(See  par.  56a.) 

78.  The  pay  of  chief  nurses  at  general  hospitals,  at  base  hospitals, 
and  on  hospital  ships  will  be  their  pay  as  nurses  plus  $30  a  month. 
The  pay  of  other  chief  nurses  will  ordinarily  be  their  pay  as  nurses 
plus  $20  a  month;  but  hi  cases  where  special  skill  and  capabiUty  are 
required  the  Surgeon  General  m  his  discretion  may  increase  the 
additional  amount  to  not  more  than  $30  a  month. 

(a)  The  additional  pay  provided  for  chief  nurses  as  above  can  be 
allowed  to  them  only  when  they  are  actually  serving  as  such.     When 


42  MANUAL  FOB   THE    MEDICAL  DEPARTMENT. 

on  leave  of  absence  or  en  route  between  stations  they  can  draw  only 
their  pay  as  nurses. 

79.  Subject  to  the  modifications  indicated  hereinafter,  nurses, 
including  chief  nurses,  will  be  paid  monthly  on  pay  rolls  prepared 
and  certified  by  the  commanding  officer  of  tlie  hospital  or  other  sani- 
tary formation  to  which  they  are  attached  for  duty.  Blank  forms 
for  the  purpose  will  be  furnished  by  the  Quartermaster  Corps.  The 
instructions  thereon  must  be  carefully  observed. 

(a)  Discharged  nui'ses  will  be  paid  on  pay  rolls  certified  by  the 
commanding  officer  of  the  hospital  or  other  sanitary  formation  to 
which  they  were  attached  at  the  time  of  discharge. 

(6)  The  pay  accounts  of  nm'ses  ordered  home  for  discharge  will 
be  prepared  in  the  office  of  the  Surgeon  General. 

(c)  All  payments  to  nurses  must  be  noted  on  their  letters  of  appoint- 
ment. 

QUARTEES. 

80.  When  practicable,  the  allowance  of  quarters  provided  by 
Army  Regulations  for  nurses  on  duty  m  hospitals  will  mclude  1 
dining  room,  1  kitchen,  1  sitting  room,  and  the  necessary  toilet  rooms 
for  the  common  use  of  all  the  nurses,  and  a  separate  bedroom  for 
each  nurse  and  chief  nurse;  also  at  hospitals  where  more  than  5  nurses 
are  stationed,  an  office  and  a  separate  sitting  room  for  the  chief  nurse. 

(a)  The  Medical  Department  will  supply  the  necessary  fm'niture 
and  care  for  the  quarters  of  nurses  on  duty  in  hospitals.  Sheets, 
towels,  piUowcases,  table  Imen,  and  other  washable  articles  so 
supplied  will  be  laundered  as  a  part  of  the  hospital  laundry. 

SUBSISTENCE. 

81.  The  rations  of  nurses  and  chief  nm'ses  on  duty  in  hospitals 
are  commuted  at  the  rate  authorized  in  the  annual  appropriations 
for  the  support  of  the  Army  and  paid  mto  the  hospital  fund  con- 
formably to  the  provisions  of  Army  Regulations,  and  paragraph 
248  of  this  Manual.  The  commanding  officer  of  the  hospital  will 
provide  a  proper  mess  for  the  members  of  the  Nurse  Corps,  mcluding 
service,  allowing  them  their  equitable  share  in  all  the  revenues  of 
the  fund. 

(a)  Nurses  and  chief  nurses  on  Government  transports  will  be 
furnished  meals  free  of  charge  m  the  saloon  mess. 

(6)  When  on  duty  in  a  city  or  town  or  at  a  station  where  subsist- 
ence is  not  furnished  by  the  Government  they  receive  commutation 
of  rations  at  the  rate  of  $1  a  day.  Wlien  on  leave  of  absence  with 
pay  they  receive  commutation  of  rations  at  the  rate  of  25  cents  a 
day. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       43 
TRANSPORTATION    AND   TRAVELING   ALLOWANCES. 

82.  Nurses  traveling  under  orders  are  entitled  at  public  expense 
to  their  own  transportation  and  to  traveling  allowances  and  trans- 
portation of  baggage  as  provided  in  Army  Regulations.  They  will 
not  be  allowed  to  delay  en  route  except  when  such  delay  is  authorized 
in  the  travel  order.  All  such  authorized  delays  will  be  regarded  as 
leave. 

83.  The  Quartermaster  Corps  wiU  ordinarily  furnish  the  required 
transportation  in  kind,  or  will  issue  transportation  requests  upon 
carriers  for  the  same. 

(a)  Wlien  transportation  in  kind  is  not  furnished,  and  transporta- 
tion requests  can  not  be  procured,  the  nurse  may  pay  her  own 
travel  fare  (which  must  not  exceed  the  cost  of  a  first-class  hmited 
ticket  between  her  starting  point  and  her  destination),  and  ask 
for  reimbursement  in  her  expense  account  lq  accordance  with  the 
following  section : 

(b)  When  a  nurse  traveling  under  orders  incurs  travelmg  expenses 
for  which  she  is  entitled  to  reimbursement  she  will  prepare  her 
account  of  the  same  on  Form  350  or  350a,  W.  D.,  inclosing  therewith 
an  itemized  statement  of  the  expenses,  in  duphcate  (showing  the  date 
when  and  the  place  where  each  item  thereof  was  incurred),  and 
receipts  for  the  several  items  charged,  or  her  certificate  that  it  was 
impracticable  to  obtain  them.  She  will  sign  and  make  oath  to  the 
correctness  of  the  voucher  before  an  officer  having  authority  to 
administer  oaths.  If  the  expenses  were  mcurred  en  route  home 
for  discharge,  she  will  after  her  arrival  home  forward  the  completed 
voucher  to  the  Surgeon  General  for  his  action;  if  they  were  other- 
wise incurred,  she  will  submit  the  voucher  to  the  commanding 
officer  of  the  hospital  or  other  sanitary  formation  to  whom  she 
reports  at  the  end  of  her  journey,  who  will  certify  it  if  he  finds  it 
correct  and  transmit  it  to  the  nearest  disbursing  quartermaster  for 
settlement.  With  these  papere  the  nurse  will  send  a  copy  of  her 
official  travel  order. 

(c)  When  transportation  requests  issued  by  the  Quartermaster 
Corps  are  not  used,  or  when  they  are  exchanged  for  railroad  tickets 
and  the  tickets,  or  any  parts  of  the  same,  are  not  used,  the  miused 
transportation  requests,  tickets,  or  parts  of  tickets,  must  in  com- 
pfiance  with  Army  Regulations  be  returned  to  the  officer  who  issued 
the  requests. 

84.  A  nurse  on  service  beyond  the  contiaental  limits  of  the  United 
States,  or  in  the  Canal  Zone,  or  in  Alaska,  who  is  ordered  to  a  home 
station,  or  to  her  home  for  discharge,  will  usually  be  provided  at  the 
station  where  she  is  serving  with  transportation  to  a  home  port.     On 


44  MANUAL  FOR   THE    MEDICAL  DEPARTMENT. 

arrival  at  such  port  she  will  apply  to  the  depot  quartermaster  at  the 
port  or  in  its  immediate  vicinity,  if  there  is  one,  for  the  further  trans- 
portation required,  exhibiting  her  travel  orders.  If  there  is  no  depot 
quartermaster  in  the  vicinity,  she  will  herself  procure  the  necessary 
further  transportation  conformably  to  the  provisions  of  paragraph 
83a. 

85.  Travel  to  and  from  points  beyond  the  limits  of  the  United 
States  and  between  island  possessions  will  be  by  Army  transport  in 
all  cases  where  practicable. 

MEDICAL    CARE    AND    TREATMENT. 

86.  A  nurse  is  entitled  to  medical  treatment  while  on  duty.  This 
will  ordinarily  be  furnished  at  the  hospital  to  which  she  is  attached; 
but  m  proper  cases  the  Surgeon  General,  or  the  department  surgeon 
within  his  department,  may  order  a  nurse's  transfer  to  and  treatment 
in  some  other  Army  hospital.  When  the  treatment  requu'ed  by  a 
nurse  on  duty  can  not  otherwise  be  had,  the  necessary  civihan  service 
may  be  employed  as  authorized  by  Ai'my  Regulations.  Bills  con- 
tracted by  a  nurse  for  medical  care  while  on  leave  or  absent  without 
leave  can  not  be  allowed. 

87.  A  nurse  will  not  be  discharged  for  disabihty  contracted  in  line 
of  duty  until  after  reasonable  time  has  been  allowed  for  treatment. 

88.  Upon  the  arrival  of  a  nurse  at  the  first  station  to  which  she  is 
assigned  after  her  appointment,  she  will  be  vaccinated  against  small- 
pox. If  the  first  vaccination  is  noneffective  it  will  be  repeated  at 
the  end  of  eight  days. 

(a)  Existing  orders  require  that  all  persons  entering  the  military 
sei'vice  be  immunized  against  typhoid  fever.  (See  Appendix: 
Typhoid  Prophylaxis.) 

(6)  The  date  and  result  of  the  last  vaccination  against  smallpox, 
and  the  date  of  the  administration  of  each  dose  of  the  typhoid 
vaccine,  will  be  indorsed  upon  the  nurse's  letter  of  appointment. 

{c)  Tlie  medical  officer  under  whom  a  nurse  is  serving  will  be  held 
responsible  that  she  is  properly  protected  agamst  smallpox  and 
typhoid  fever  in  accordance  with  the  above  requirements. 

LEAVE    OF   ABSENCE. 

89.  The  leave  year  of  a  member  of  the  Nurse  Corps  will  be  reck- 
oned in  each  case  from  the  date  of  her  letter  of  appointment.  A 
leave  credit  of  two  and  one-half  days  for  each  month  of  completed 
service  and  leave  with  pay  under  her  appointment  will  be  allowed, 
against  which  will  be  charged  all  absence  on  leave  with  pay.  Leave 
credits  will  not  be  allowed  for  periods  of  absence  without  pay. 
Unused  leave  credits  may  accumulate  to  an  aggregate  not  exceeding 


MEDICAL  DEPARTMEN'T,  ITS  ORGANIZATION  AND  PERSONNEL.       45 

120  days.  Leave  to  the  amount  of  the  accumulated  unused  leave 
credits  may  be  granted  whenever  the  exigencies  of  the  service  per- 
mit. Final  leave  will  be  granted  prior  to  discharge  to  the  amount 
of  accumulated  leave  credits.  Extra  leave  of  absence  with  pay  on 
account  of  illness  can  not  be  granted. 

(a)  A  leave  credit  accruing  but  unused  under  one  appointment 
can  not  be  carried  over  and  become  available  under  a  subsequent 
appointment. 

90.  A  nurse  desiring  leave  of  absence  will  apply  therefor  in  WTiting 
through  the  chief  nurse  to  her  irmnediate  commanding  officer  for 
his  action  conformably  to  the  preceding  paragraph.  The  original 
paper  granting  the  leave  will  be  given  to  the  nurse. 

91.  Subject  to  the  modification  indicated  in  section  (a)  of  this  para- 
graph, when  accumulated  leave  of  absence  with  pay  is  granted  to  a 
nurse  on  service  in  Alaska  or  beyond  the  continental  limits  of  the 
United  States  for  the  purpose  of  coming  to  and  returning  from  the 
United  States,  the  running  of  such  leave  shall  be  calculated  between 
the  date  she  reached  or  might  have  reached  the  United  States  and 
the  date  she  left  or  should  have  left  the  United  States  via  the  usually 
traveled  routes.  If  the  nurse's  return  to  service  abroad  is  not 
required,  the  termination  of  her  leave  shall  be  calculated  from  the 
date  she  arrived  or  should  have  arrived  in  the  United  States  via  the 
usually  traveled  route. 

(a)  In  the  case  of  a  nurse  coming  to  the  United  States  from  or 
going  from  the  United  States  to  service  in  the  Philippine  Islands 
who  desires  to  make  the  journey  by  a  route  other  than  the  custom- 
ary one  in  order  to  visit  foreign  countries  on  leave  of  absence  while 
en  route,  an  allowance  of  30  days  as  on  status  of  duty  without  right 
to  reimbursement  of  traveling  expenses  will  be  made,  in  addition 
to  the  time  granted  as  for  leave  of  absence,  to  cover  the  average 
amount  of  time  necessary  to  perform  the  .journey  from  the  Philip- 
pine Islands  to  the  usual  port  of  arrival  in  the  United  States  or 
from  said  port  to  the  Philippine  Islands;  and  in  calculating  the  run- 
ning of  her  leave  the  said  period  of  30  days  for  travel  shall  in  each 
instance  be  excluded. 

(b)  When  leave  with  pay  is  granted  a  nurse  on  service  in  the  Phil- 
ippine Islands  to  be  absent  therefrom  other  than  to  come  to  the 
United  States,  the  running  of  such  leave  shall  be  calculated  between 
the  date  of  reaching  Manila  from  her  station  and  the  date  of  leaving 
Manila  in  returning  to  her  station. 

92.  Leave  of  absence  without  pay  and  allowances  is  permitted 
under  the  circumstances  indicated  in  Army  Regulations;  and  may  be 
granted  in  other  cases  when  the  conditiims  of  the  service  are  favorable. 


46  MANUAL   FOR  THE    IMEDICAL   DEPARTMENT. 

UNIFORM. 

93.  The  uniform  of  the  Nurse  Corps  will  consist  of  a  waist,  a  skirt,  a 
belt,  a  collar,  a  cap,  and  the  badge  of  the  corps.  Details  of  material, 
make,  and  design  will  conform  to  specifications  prescribed  by  the 
Surgeon  General.  No  changes  therein  will,  be  made  without  his 
authority. 

94.  The  nurse  may  procure  her  uniforms  after  she  reaches  her  post 
of  duty,  where  detailed  instructions  on  the  subject  will  be  supplied 
her. 

95.  The  imiform  will  invariably  be  worn  during  the  hours  of  duty. 
Nurses  not  in  uniform  will  not  be  allowed  in  the  wards. 

96.  Nurses'  uniforms  soiled  while  on  public  duty  will  be  washed  as  a 
part  of  the  hospital  laundry.     (See  par.  267.) 

97.  The  badge  of  the  corps  will  be  a  caduceus  of  gold  or  gilt, 
superimposed  in  the  center  by  a  monogram  of  the  letters  ''A.  N.  C. " 
in  white  enamel.  It  will  be  worn  as  prescribed  by  the  Surgeon 
General. 

REPORTS    AND   RETURNS. 

98.  A  return  of  the  Nurse  Corps  is  required  monthly  from  every 
hospital  or  other  sanitary  formation  with  which  nui'ses  are  on  duty 
or  to  which  they  are  attached.  It  will  be  forwarded  on  Form  63; 
within  five  days  after  the  end  of  the  month  covered  by  it,  through  the 
department  surgeon  to  the  Surgeon  General,  or  in  the  case  of  inde- 
pendent commands  direct  to  the  Surgeon  General  unless  otherwise 
ordered  by  him. 

99.  An  efficiency  report  of  nurses  is  required  monthly  on  Form  62 
from  every  hospital  or  other  sanitary  formation  to  which  nurses  are 
assigned  or  attached,  and  will  include  all  the  nurees  on  duty  with  or 
attached  to  the  organization  during  the  month  or  any  part  thereof. 
It  will  be  prepared  by  the  chief  nurse,  if  there  is  one,  otherwise  by 
the  commanding  officer,  and  will  be  forwarded  by  the  latter  within 
five  days  after  the  end  of  the  month  through  the  channels  indicated 
in  the  preceding  paragraph  for  the  monthly  return.  A  special  effi- 
ciency report  will  be  prepared  in  like  manner  for  every  nurse  upon 
her  departure  from  one  station  for  another,  showing  where  she  has 
gone  and  the  date  of  her  departure,  and  will  be  forwarded  in  duplicate 
within  five  days  after  the  change  to  the  commanding  officer  of  the 
hospital  or  other  sanitary  formation  to  which  she  has  been  transferred. 
Should  two  or  more  nurses  make  the  same  change  at  the  same  time 
a  single  special  efficiency  report  covering  them  will  be  sufficient.  A 
copy  of  each  report  will  be  retained  by  the  commanding  officer  of  the 
organization  where  it  was  prepared,  and  will  be  open  to  the  inspection 
of  only  his  chief  nurse,  his  executive  officer,  and  higher  authority. 


MEDICAL  DEPARTMENT,  ITK  ORGANIZATION  AND  PERSONNEL.       47 

(a)  A  special  efficiency  report  sent  to  a  nurse's  new  station  will  be 
attached  to  the  next  monthly  efficiency  report  from  such  station  made 
after  its  receipt. 

100.  All  changes  in  the  personnel  of  the  Nurse  Corps  by  discharge, 
death,  etc.,  all  changes  in  the  stations  of  its  members  by  departure 
for  or  assignment  to  another  hospital  or  other  sanitary  formation, 
or  by  arrival  or  assignment  from  another  organization,  and  all  other 
changes  in  then-  status  (such  as  from  present  for  duty  to  present  sick; 
from  present  sick  to  duty;  from  present  to  leave  of  absence,  specifying 
its  duration;  from  leave  of  absence  to  present),  including  changes  in 
assignments  as  chief  nurses,  will  be  reported  on  the  day  of  the  change 
through  the  department  surgeon  to  the  Surgeon  General,  or  in  the 
case  of  independent  commands  direct  to  the  Surgeon  General. 

DUTIES   OF   CHIEF    NURSES   AND   NURSES. 

101 .  For  duties  of  members  of  the  Nurse  Corps  assigned  to  hospitals 
see  paragraphs  311  to  315. 

RESERVE   NURSES. 

(See  par.  536.) 

102.  The  enrolled  nurses  of  the  American  National  Red  Cross  Nurs- 
ing Service  will  constitute  the  reserve  of  the  Army  Nurse  Corps,  and 
in  time  of  war  or  other  emergency  may  with  their  own  consent  be 
assigned  to  active  duty  in  the  military  establishment.  Wlien  the 
emergency  necessitating  the  employment  of  reserve  nurses  is  immi- 
nent the  Surgeon  General  will  request  the  proper  officer  of  the  Red 
Cross  Society  to  nominate  from  among  the  enrolled  nurses  qualified 
for  the  work  to  be  done  as  many  as  the  Surgeon  General  may  deem 
necessary  to  enable  him  to  choose  those  for  assignment  to  active  duty. 

(a)  When  called  into  active  service  they  will  be  subject  to  all  the 
estabhshed  rules  and  regulations  for  the  government  of  the  Nurse 
Corps,  and  will  receive  the  pay  and  allowances  of  nurses  on  the 
regular  list. 

(b)  A  reserve  nurse  wiU  not  be  relieved  from  active  service  except 
by  order  or  authority  of  the  Surgeon  General.  Except  in  case  of 
misconduct  she  will,  if  she  so  desires,  be  furnished  travel  orders  to  her 
home  before  the  order  of  relief  shall  take  effect.  The  provisions  of 
paragraph  7Sa  will  apply  to  reserve  nurses.  Upon  relief  from  active 
service  the  following  form  of  indorsement  will  be  placed  upon  the 
nurse's  letter  of  assignment,  if  the  same  is  available;  otherwise  a 
letter  of  equivalent  purport  will  be  sent  her: 

,  1^. 

With  the  approval  of  the  Secretary  of  War,  and  by  order  of  the  Surgeon  General 

dated ,  19 — ,  the  reserve  nurse  within  named  is  relieved  from  active  eervice 

in  the  military  establishment,  to  take  effect ,  19 — . 


United  Stales  Army. 


48  MANUAL   FOR   THE   MEDICAL   DEPABTMENT. 

(c)  When  a  reserve  nurse  is  assigned  to  active  service  the  Surgeon 
General  wOl  by  letter  promptly  advise  the  proper  officer  of  the  Red 
Cross  Society  to  that  effect.  When  she  is  relieved  from  active  service 
he  will  communicate  that  fact  likewise  by  letter,  stating  the  cause  of 
her  relief  and  whether  her  services  have  been  satisfactory. 

CIVILIAN    EMPLOYEES. 

(For  Hospital  Matrons,  see  par.  265.) 

103.  The  employment  of  male  nurses,  of  female  nurses  not  in  the 
Nurse  Corps,  of  cooks,  and  of  other  civilians  necessary  for  the  proper 
care  of  sick  officers  and  soldiers,  is  authorized  in  the  annual  appro- 
priations for  the  "Medical  and  Hospital  Department,"  under  such 
regulations  fixing  their  number,  qualifications,  assignment,  pay,  and 
allowances  as  may  be  prescribed  by  the  Secretary  of  War.  The  pay 
of  civilian  employees,  such  as  clerks,  messengers,  watchmen,  packers, 
laborers,  etc.,  in  the  administrative  offices  and  supply  depots  of  the 
Medical  Department  is  provided  for  in  the  same  appropriations. 

HOSPITAL    EMPLOYEES. 

104.  The  number  and  assignment  of  contract  nurses,  cooks,  and 
other  civihans  employed  at  military  hospitals  for  the  proper  care  of 
the  sick  therein  will  be  determined  by  the  Surgeon  General  or,  under 
his  instructions,  in  the  Philippine  Department  by  the  department 
surgeon. 

(a)  Their  qualifications  for  their  respective  employments  will  be 
ascertained  by  practical  tests  established  from  time  to  time  by  the 
Surgeon  General. 

105.  Hospital  employees  whose  pay  does  not  exceed  $60  a  month 
may,  under  authority  obtained  from  the  Surgeon  General,  be  selected 
by  the  medical  officer  in  charge  of  the  hospital;  and  they  may  be 
reduced  or  discharged  by  such  officer  as  the  interests  of  the  service 
require.     (See  par.  318o.) 

(a)  When  the  circumstances  of  the  employment  make  it  necessary 
a  ration  may  be  allowed  in  addition  to  pay  proper  of  $60  a  month  or 
less  in  conformity  with  Ai'my  Regulations. 

106.  Hospital  employees  whose  pay  exceeds  $60  a  month  will  be 
appointed  by  the  Surgeon  -General,  and  will  be  rationed  only  imder 
special  authority  from  the  Secretary  of  War.  They  may  be  reduced 
or  discharged  at  the  discretion  of  the  Surgeon  General  as  the  interests 
of  the  service  require.     (See  par.  318c.) 

107.  Such  quarters  as  may  be  available  will  be  furnished  for  the 
use  of  those  employees  whose  constant  presence  at  the  hospital  is 
necessary  or  appr<^priatc. 


MEDICAL  DEPAKTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       49 
DEPOT    AND    OFFICE    EMPLOYEES. 

108.  Civilians  employed  in  the  supply  depots  and  administrative 
offices  of  the  Medical  Department  are  of  two  classes:  (1)  Those  whose 
duties  are  unskilled  manual  labor  only;  and  (2)  those  of  higher  grade. 
The  former  are  subject  to  Labor  Regulations  promulgated  by  the 
President.  The  latter  are  classified  employees,  subject  to  civil-service 
rules. 

109.  The  Labor  Regulations  govern  the  employment  of  unskilled 
laborers  in  Federal  offices  in  nearly  all  of  the  large  cities  of  the  United 
States.  Where  they  are  in  force  they  must  be  strictly  observed, 
whether  the  laborers  are  required  for  temporary  or  permanent  work. 
To  secure  the  services  of  laborers  under  the  Labor  Regulations  appli- 
cation for  the  certification  of  eligibles  should  be  made  to  the  local 
board  of  labor  employment. 

110.  The  number  and  compensation  of  unskilled  laborers  and 
workmen  in  the  depots  and  offices  of  the  Medical  Department  are 
determined  by  the  Surgeon  General  under  the  direction  of  the  Sec- 
retary of  War. 

(a)  No  such  workman  or  laborer  will  be  permanently  employed  by 
the  month  without  authority  from  the  Surgeon  General,  nor  at  more 
than  $60  a  month  without  the  special  authority  of  the  Secretary  of 
War.  They  may  be  reduced  or  discharged  at  the  discretion  of  the 
Surgeon  General  as  the  interests  of  the  service  require. 

(6)  In  emergencies  requiring  prompt  action,  when  the  services  of 
enlisted  men  are  not  to  be  had,  laborers  may  be  temporarily  employed 
(under  Labor  Regulations,  if  applicable),  without  previous  authority, 
at  not  more  than  25  cents  an  hour. 

(f)  The  employment  of  unskilled  laborers  or  workmen  in  the  Phil- 
ippine Department  will  be  supervised  by  the  department  surgeon 
under  instructions  from  the  Surgeon  General. 

111.  When  the  position  of  an  unskilled  laborer  or  workman  em- 
ployed at  $60  a  month  or  less  by  authority  of  the  Surgeon  General 
becomes  vacant  the  vacancy  may  be  filled  if  necessary  (under  Labor 
Regulations,  when  applicable),  without  new  authority,  report  of  the 
changes  to  be  made  promptly  to  the  Surgeon  General. 

112.  Persons  employed  as  unskilled  laborers  or  workmen  will  not 
be  assigned  to  work  of  the  grade  performed  by  classified  employees. 

113.  Civihan  employees  in  the  depots  and  administrative  offices  of 
the  Medical  Department  above  the  grade  of  unskilled  laborer  or 
workman  are  appointed  by  the  Secretary  of  War,  upon  the  recom- 
mendation of  the  Surgeon  General,  from  lists  of  eligibles  furnished  by 
the  United  States  Civil  Service  Commission,  or  by  reinstatements  or 
transfers  by  the  Secretary  of  War  under  civil-service  rules.  (But 
see  par.  114.)     Their  number  and  compensation  are  fixed  by  the  Sec- 

93440°— 17 4 


50  MANUAL  FOR   THE   MEDICAL   DEPARTMENT. 

retary,  and  their  promotion,  reduction,  and  removal  are  determined 
by  him,  upon  the  Surgeon  General's  recommendation.  Tlieir  assign- 
ments to  and  transfers  between  stations,  at  home  or  abroad,  are  regu- 
lated by  the  Surgeon  General,  under  the  Secretary's  direction.  (See 
par.  117.) 

114.  In  case  of  a  vacancy  among  them  by  death  or  otherwise,  the 
officer  under  whom  it  occurs  will  promptly  advise  the  Surgeon  General 
whether  it  is  necessary  to  fill  the  same,  and  if  so  will  make  such 
recommendation  for  promotion  or  original  appointment  as  may  be 
appropriate.  Temporary  appointments  without  examination  and 
certification  by  the  Civil  Service  Commission,  pending  permanent 
appointment,  promotion,  or  transfer,  are  not  made  by  the  Secretary 
to  any  classified  position  except  when  the  public  emergency  so 
requires,  and  then  only  upon  the  prior  authorization  of  the  com- 
mission. Appointments  so  authorized  continue  only  for  such  period 
as  may  be  necessary  to  make  appointment  through  certification  of 
ehgibles  or  by  promotion  or  transfer;  and  in  no  case  without  prior 
approval  of  the  commission  do  they  extend  beyond  30  days  from  the 
Secretary's  receipt  of  the  certification,  or  (if  the  vacancy  is  to  be 
filled  by  promotion  or  transfer)  beyond  30  days  from  the  date  of  the 
temporary  appointment. 

(a)  When  a  classified  position  in  the  PhiUppine  Islands  becomes 
vacant  it  may  be  filled  in  the  regular  way,  or  if  specially  authorized 
by  the  Secretary  of  War,  by  appointment  from  the  ehgible  hsts  of 
the  Philippine  civU-service  board. 

115.  Recommendations  for  the  promotion  of  a  classified  employee 
should  originate  with  the  officer  or  officers  mider  whose  supervision 
and  control  the  employee  is  serving.  No  recommendation  originating 
otherwise  will  be  considered.  If  the  employee  procures  such  recom- 
mendations to  be  made  by  any  other  person,  his  so  doing  will  be 
cause  for  debarring  him  from  the  promotion  proposed.  A  repetition 
of  the  offense  will  be  sufficient  cause  for  discharge. 

116.  Classified  employees  will  be  promoted,  reduced,  or  discharged 
only  by  the  Secretary  of  War;  but  the  ofiScer  under  whom  they  are 
serving  may  suspend  them  from  duty  and  pay  for  cause.  He  will 
inform  the  suspended  employee  of  the  reasons  for  his  suspension,  and 
give  him  three  days  in  which  to  answer  the  same  in  writing.  Should 
the  answer  be  satisfactory,  he  may  at  once  without  further  action 
restore  the  employee  to  duty  and  pay.  Should  no  reply  have  been 
received  at  the  end  of  the  three  days,  or  should  it  be  unsatisfactory, 
he  wiU  report  his  action,  his  reasons  therefor,  and  his  recommenda- 
tions m  the  premises  (together  with  tlie  written  answer  received  by 
him,  if  any)  to  the  Surgeon  General,  for  the  information  and  action 
of  the  Secretary. 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       51 

117.  Clerks  transferred  to  the  Philippines  will  be  allowed  an 
increase  of  $200  in  annual  compensation,  to  take  effect  on  the  date 
of  leaving  station  in  the  United  States.  Clerks  transferred  from  the 
Phihppines  will  be  reduced  approximately  20  per  cent  in  compensa- 
tion, provided  such  reduction  does  not  lower  their  pay  below  the  rate 
they  were  receiving  for  their  former  service  in  the  United  States 
(unless  their  efficiency  record  calls  for  a  lower  compensation).  Such 
reductions  wiU  take  effect  on  the  date  of  arrival  at  the  new  station. 
Clerks  so  transferred  forth  and  back  will  receive  the  regulation  allow- 
ances of  transportation  and  expenses  en  route  between  stations.  No 
classified  employee  will  be  transferred  from  the  United  States  to  the 
Philippmes,  or  vice  versa,  except  upon  authority  of  the  Secretary  of 
War  previously  obtained. 

REPORTS    OF    CHANGES    OF    STATUS. 

118.  Every  appomtment,  promotion,  reduction,  or  discharge  of 
a  civilian  employee,  temporary  or  permanent,  made  by  an  officer  of 
the  Medical  Department,  will  be  reported  promptly  to  the  Surgeon 
General,  with  the  name  of  the  person  concerned,  the  date  of  the 
change,  and  citation  of  the  authority  therefor.  In  case  of  death  the 
date  and  place  of  death  will  be  given;  in  case  of  death  or  discharge 
the  date  to  which  the  employee  was  last  paid,  and  by  what  officer. 
A  record  will  be  kept  in  each  office  of  the  name  and  address  of  the 
employee's  nearest  relative,  who  will  be  at  once  notified  of  thQ 
employee's  death.     (See  Appendix :  Civilian  Employees.) 

119.  When  a  clerk  is  transferred  from  one  office  to  another  the 
officei-s  concerned  will  report  to  the  Surgeon  General  the  date  of  his 
departure  from  the  old  station  and  the  date  of  his  arrival  at  the 
new.  The  officer  at  the  old  station  will  by  letter  inform  the  officer 
at  the  new  station  of  the  date  to  which  the  clerk  was  last  paid. 

EFFICIENCY   REPORTS    OF    CLASSIFIED   EMPLOYEES. 

120.  Every  officer  under  whom  classified  employees  of  the  Medical 
Department  are  serving  will  prepare  and  forward  to  the  Surgeon 
General  on  June  30  and  December  31  of  each  year  a  report  of  their 
efficiency  during  the  preceding  six  months. 

121.  In  determining  the  efficiency  of  each  such  employee  the 
factors  of  attendance,  ability,  adaptability,  habits,  and  application 
wiU  be  considered,  and  each  marked  separately  on  a  scale  of  100. 
Abihty  will  be'  given  four  times  the  weight,  adaptabifity  twice  the 
weight,  and  habits  twice  the  weight  of  either  of  the  other  factors, 
which  will  each  be  given  a  weight  of  one.  The  fuial  efficiency  figure 
will  be  obtained  by  dividing  by  10  the  aggregate  of  the  markings 
under  the  several  heatls,  and  will  represent,  so  far  as  practicable,  the 


52  MANUAL  FOR   THE   MEDICAL  DEPAETMENT. 

record  of  each  employee  as  made  from  day  to  day  during  the  six 
months.  In  connection  with  abihty,  the  character,  quaUty,  and  quan- 
tity of  work  will  be  marked  as  indicated  on  the  form.  (Form  20, 
W.  D.) 

(a)  The  names  in  each  class  or  grade  will  be  entered  in  the  order  of 
merit,  those  with  the  same  efficiency  figure  being  arranged  according 
to  length  of  service  in  the  Medical  Department. 

122.  The  following  rules  will  be  observed  in  keeping  efficiency 
records  and  preparing  semiannual  reports  thereof- 

Attendance. — A  record  will  be  kept  in  each  office  upon  which  will 
be  noted  daily  the  duration  of  all  absences  from  official  duty  on  the 
part  of  persons  whose  names  are  to  appear  on  the  semiannual  effi- 
ciency report.  From  the  time  record  thus  kept  the  figure  of  attend- 
ance to  be  used  m  the  preparation  of  that  report  will  be  obtained. 

A  deduction  of  two  points  will  be  made  for  every  three  days' 
absence  on  leave  without  pay  or  on  account  of  personal  sickness 
which  is  accounted  for  and  approved  m  accordance  with  the  leave 
regulations:  Provided,  That  absence  on  account  of  sickness  may  be 
disregarded  in  cases  of  special  merit  or  where  it  would  be  manifestly 
imjust  to  include  such  absence  in  the  calculation  of  the  efficiency 
figures. 

Deduction  for  absence  without  leave  will  be  made  at  the  rate  of 
five  points  for  each  day,  and  further  deduction  will  be  made  in  the 
figure  representing  habits  if  required  by  the  nature  and  degree  of 
the  offense.  Tardiness  will  be  considered  in  connection  with  habits, 
and  if  of  frequent  occurrence  will  be  made  the  subject  of  special 
action  as  prescribed  under  that  head. 

Ability. — Wherever  practicable  a  record  will  be  kept  of  the  amount 
and  character  of  work  performed  each  day  by  persons  whose  effi- 
ciency is  required  to  be  reported.  The  record  of  work  for  each  six 
months  will  serve  as  a  basis  for  determining  the  relative  abihty  of 
the  persons  engaged  thereon,  proper  deduction  being  made  for  all 
errors  or  deficiencies  that  may  have  been  reported.  The  abihty  figure 
of  those  employed  upon  work  that  can  not  be  tabulated  or  stated 
numerically  will  be  determined  by  the  chief  of  office  upon  his  own 
observation  and  knowledge. 

While  the  amount  of  work  creditably  performed  is  valuable  as  a 
guide  in  estimating  ability,  too  much  importance  should  not  attach 
to  this  factor  except  as  between  persons  employed  in  substantially 
the  same  way.  Character  and  quality  of  work  must  be  regarded  as 
much  more  important  than  quantity,  and,  as  these  elements  can  not 
be  ascertained  by  any  automatic  process  or  be  stated  numerically 
from  day  to  day,  the  opinions  of  officers  and  supervising  clerks,  who 
])y  constant  association  and  observation  acciuire  intimate  knowledge 
of  the  personnel  of  their  own  office,  must  be  relied  upon  to  a  great 


MEDICAL  DEPARTMENT,  ITS  OBGANIZATION  AND  PERSONNEL.       53 

extent  to  determine  the  relative  merits  of  the  individuals  employed 
under  thoir  direction. 

When  clerks  of  a  particular  class  perform  satisfactorily  work  of  a 
grade  usually  assigned  to  a  higher  class  gTeat  credit  should  be  given 
therefor.  If  for  lack  of  ability  clerks  are  employed  upon  work 
usually  assigned  to  a  lower  class,  the  marking  should  be  correspond- 
ingly low,  although  the  work  itself  may  be  exceedingly  good. 

Adaptability. — Under  the  head  of  "Adaptability"  there  should  be 
considered  intelUgence,  aptitude,  fitness  for  the  general  duties  of  an 
office,  and  demonstrated  capacity  for  the  performance  of  a  higher 
class  of  work.  As  in  respect  of  abiUty,  these  elements  will  be  weighed 
and  the  figure  of  adaptabihty  determined  therefrom  by  the  chief  of 
office,  assisted  by  recommendations  of  officers  and  others  in  super- 
vising positions. 

HaMts. — In  estimating  habits  consideration  should  be  given  to 
sobriety,  integrity,  subordination,  cheerful  and  zealous  obedience  to 
orders  and  regulations,  and  promptness  and  courtesy  in  all  the  rela- 
tions of  official  business.  The  rating  will  be  made  in  the  manner 
prescribed  for  ability.  Insubordination,  disregard  of  regulations,  fre- 
quent tardiness,  drunkenness  on  duty,  or  any  conduct  prejudicial  to 
the  good  order  and  discipline  of  an  office  should  be  made  the  subject 
of  special  inquiry  and  action  as  directed  in  regard  to  absence  without 
leave. 

Application. — ^Under  the  head  of  "Application"  should  be  repre- 
sented the  degree  of  diligence  and  faithfulness  which  has  been  shown 
in  respect  of  attention  to  duty,  the  rating  to  be  made  in  the  manner 
prescribed  for  abihty. 

123.  The  following  special  rules  respecting  the  ability  and  adapt- 
ability marks  of  clerks  will  also  be  complied  with: 

(a)  Rate  no  clerk  higher  than  95  in  either  ability  or  adaptability. 

(&)  Rate  no  two  clerks  at  the  same  ability  figure  unless  they  are 
clearly  of  equal  ability,  and  in  no  case  rate  thi-ee  or  more  in  the  same 
grade  in  the  same  office  at  the  same  ability  figure,  unless  they  are 
employed  on  tabulated  work  which  determines  the  figure. 

(c)  Rate  no  one  at  a  higher  figure  in  adaptability  than  in  ability. 

(d)  Whenever  two  are  rated  at  the  same  figure  in  ability,  distiQ- 
guish  between  them  by  tating  one  at  least  one-half  (five-tenths)  of  a 
point  less  in  adaptability  than  the  other.  If  no  other  ground  for  this 
difference  is  apparent,  let  it  be  based  on  the  length  of  service  in  the 
present  grade,  the  one  having  the  shorter  term  of  such  service  getting 
the  lesser  adaptability. 

(e)  Assign  no  clerk  a  liigher  figure  in  either  factor  than  is  warranted 
by  his  actual  efficiency,  as  compared  with  that  of  the  other  clerks  of 
the  same  grade  in  the  office  during  the  period  of  the  list  and  at  the 


54  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

end  thereof,  regardless  of  any  higher  figure  that  may  have  been 
assigned  to  him  on  any  previous  lists. 

124.  Each  semiannual  efficiency  list  should  show  the  relative  stand- 
ing actually  earned  by  each  employee  of  the  office  as  compared  with 
fellow  employees  during  the  half  year  covered  by  it,  regardless  of  his 
standing  on  any  prior  list.  It  does  not  follow  because  an  employee's 
absolute  efficiency  remains  unchanged  that  he  should  retain  the  effi- 
ciency ratings  previously  given  him;  other  employees  in  the  mean- 
time may  have  shown  such  increase  in  efficiency  that  they  are  justly 
entitled  to  precede  him  in  relative  standing.  The  efficiency  figure  of 
any  employee,  as  well  as  the  figures  representing  the  factors  composing 
it,  being  thus  relative  only,  must  necessarily  change  from  time  to  time, 
even  in  the  case  of  an  employee  whose  actual  efficiency  remains 
unchanged.  Each  efficiency  list  displaces  and  supersedes  the  prior 
list,  and  should  represent  the  relative  values  of  all  the  employees 
thereon  for  the  period  covered  by  the  list  and  at  the  end  of  that 
period,  regardless  of  what  their  relative  values  were  on  previous  lists. 
Officers  will  bear  these  considerations  in  mind  in  preparing  the  effi- 
ciency lists  in  question. 

125.  All  promotions  in  the  classified  service  will  be  made  in  the 
order  of  merit  as  established  by  the  last  semiannual  efficiency  report, 
subject  to  such  examination  as  may  hereafter  be  ordered  under  civil- 
service  rules:  Provided,  That  any  person  entitled  to  promotion  under 
the  terms  of  this  regulation  who  shall  become  markedly  inefficient,  or 
be  guilty  of  any  serious  misconduct  after  the  preparation  of  the  last 
semiannual  efficiency  report,  shall  forfeit  the  right  to  promotion,  and 
the  same  shall  accrue  to  the  next  eligible  person  on  the  list. 

126.  Those  who  fail  during  any  six  months  to  attain  an  efficiency 
rating  of  70  will  be  regarded  as  deficient  in  their  respective  classes 
and  subject  to  regrading,  and  will,  in  the  discretion  of  the  officer 
under  whom  they  are  serving,  be  reported  to  the  Surgeon  General 
for  reduction.  All  who,  on  two  consecutive  reports,  fall  below  70  in 
efficiency  will  be  invariably  reported  for  reduction. 

All  who,  on  two  consecutive  reports  fall  below  60  in  efficiency  or 
below  50  in  either  application,  habits,  or  ability,  will  be  reported  for 
discharge. 

In  the  case  of  those  entitled  to  preference  under  section  1754, 
Revised  Statutes,  the  figures  65,  55,  and  45  are  substituted  for  70, 
60,  and  50,  respectively,  in  the  two  preceding  paragraphs. 

127.  The  semiannual  efficiency  reports  in  each  office  will,  if  prac- 
ticable, be  placed  where  access  to  them  can  bo  had  by  all  concerned; 
but  where,  by  reason  of  the  large  number  or  widely  separated  loca- 
tions of  those  interested,  material  interference  with  current  work 
and  loss  of  time  would  bo  occasioned  by  allowing  each  individual 
access  to  the  reports,  a  transcript  from  the  semiannual  report  will  be 


MEDICAL  DEPARTMENT,  ITS  ORGANIZATION  AND  PERSONNEL.       55 

forwarded  to  each  person  whose  name  is  borne  thereon  as  soon  as 
practicable  after  the  completion  of  the  report.  This  transcript  will 
show  the  efficiency  rating  and  lineal  number,  or  relative  standing, 
of  the  person  to  whom  it  is  furnished. 

128 .  A  copy  of  each  semiannual  efficiency  report  will  be  forwarded 
by  the  Surgeon  General  to  the  Secretary  of  War  as  soon  as  practi- 
cable after  the  expiration  of  each  six  months. 

LEAVES    OF    ABSENCE. 

129.  Regulations  governing  leaves  of  absence  of  civilian  employees 
are  published  in  special  circulars  by  the  War  Department.  (See 
Appendix:  Civilian  Em'ployees.) 

REPORTS    OF   EMPLOYEES    INJURED. 

130.  Regulations  governing  the  operation  of  the  Government 
"Compensation  Act"  for  employees  injured  in  the  service  of  the 
United  States,  are  published  in  special  circulars  by  the  War  Depart- 
ment. The  Surgeon  General  will  on  application  furnish  appropriate 
forms  for  the  necessary  reports.     (See  Appendix :  Civilian  Employees.) 


ARTICLE  n.— EDUCATION  AND  TRAINING. 


131.  The  educational  duties  of  the  Medical  Department  are  of  a 
twofold  nature — to  the  public,  and  to  the  military  services,  regular, 
volunteer,  and  militia.  The  connection  with  public  education  is 
maintained  through  the  Library  of  the  Surgeon  General's  Office  and 
the  Army  Medical  Museum.  The  professional  training  of  the  mihtary 
services  is  carried  out  chiefly  by  the  regular  courses  of  instruction 
given  medical  officers  at  the  Army  Medical  School  in  Washington, 
D.  C,  and  at  the  Army  Service  Schools,  Fort  Leavenworth,  by  the 
courses  given  the  Hospital  Corps  in  field  hospitals,  ambulance  com- 
panies, and  detachments,  and  by  the  teaching  of  hygiene  and  first 
aid  to  other  branches  of  the  Army. 

LIBRARY,    SURGEON    OENERAL'S    OFFICE. 

132.  This  has  been  characterized  as  "the  great,  central,  medical 
library  of  reference  of  the  Nation"  (6  Comp.  Dec,  740).  Under  the 
provisions  of  the  act  of  March  3,  1901  (31  Stats.,  1039),  facilities  for 
study  and  research  therem  are  afforded  to  scientific  investigators, 
students,  and  graduates  of  institutions  of  learning  in  the  several 
States  and  Territories  as  well  as  in  the  District  of  Columbia;  and  its 
material,  under  suitable  rules  and  regulations,  is  available  for  loan  to 
such  persons,  and  to  schools,  societies,  and  public  libraries  in  every 
State  of  the  Union.  It  consists  now  of  over  half  a  million  books 
and  pamphlets,  all  of  which  are  catalogued  and  arranged  for  ready 
use.  Every  year  a  volume  of  the  Index  Catalogue  is  prepared, 
which,  as  it  deals  with  both  subjects  and  authors,  is  itself  a  compre- 
hensive book  of  reference.  The  Index  Medicus,  published  monthly 
by  the  Carnegie  Institute,  is  based  on  the  new  additions  to  the 
library  and  gives  a  monthly  bibliography  of  medicine  and  the  allied 
sciences. 

133.  Books  that  can  be  readily  replaced  will  be  loaned  to  medical 
officers  of  the  Army,  who  will  be  held  responsible  for  the  safe  return 
of  the  volumes  within  two  weeks  from  the  day  of  their  receipt.  In 
special  cases  this  time  may  be  extended. 

ARMY    MEDICAIi    MUSEUM. 

134.  The  museum,  like  the  library,  affords  facilities  for  study  and 
research  to  scientific  investigators,  students,  and  others  under  the  act 
of  March  3,  1901.     Its  general  purpose  is  the  collection,  preservation, 

56 


EDUCATTON  AND  TRATNTNQ.  67 

and  exliibition  of:  (1)  Material  illustrative  of  military  medicine  and 
sui'gery,  and  the  diseases  of  armies;  (2)  material  and  appliances 
relating  to  the  hygiene  of  troops  and  to  public  sanitation ;  (3)  material 
illustrative  of  the  advance  of  medical  and  surgical  knowledge  and 
its  allied  sciences,  such  as  chemistry,  microscopy,  photomicrography, 
anthropology,  and  anthropometry;  (4)  material  of  interest  and  value 
to  the  history  and  archaeology  of  the  Medical  Department  of  the 
Army.  The  collection  includes  pathological  specimens  of  all  kinds 
which  have  any  scientific  interest  for  the  mihtary  surgeon,  the 
pathologist  or  the  medical  student,  particularly  such  specimens  as 
show  the  effects  of  gunshot  or  other  injuries  inflicted  by  the  various 
missiles  and  weapons  used  in  war,  and  such  as  exhibit  diseased  condi- 
tions of  the  various  organs  and  viscera  of  the  human  body  incident  to 
service  in  the  field  and  in  the  tropics.  It  includes  also  models  of  the 
anatomical  structure  of  the  human  body;  of  the  various  surgical 
instruments  in  use  in  this  country  from  the  time  of  the  Revolutionary 
War;  of  the  microscope  from  its  crude  primitive  form  to  the  most 
improved  present-day  instrument;  of  dental  instruments  and  speci- 
mens; of  litters,  ambulances,  dressings,  and  materials  used  on  the 
field  of  battle  by  the  various  armies  of  the  world;  of  hospitals,  illus- 
trating their  construction  and  arrangement;  and  of  many  other  appH- 
ances  and  apparatus  not  here  enumerated.  These  exhibits  are  not 
available  for  issue  or  loan,  except  on  great  public  occasions  and  under 
the  safeguard  of  extraordinary  guaranties;  but  they  may  always  be 
seen  in  their  place  in  the  museum  building  in  the  city  of  Washington. 

135.  Medical  officers  and  others  interested  in  the  progress  of  med- 
ical science  are  invited  to  make  contributions  to  the  Army  Medical 
Museum.  Medical  officers  who  have  the  opportunity  are  expected 
to  collect  and  send  interesting  medical  and  surgical  specimens,  espe- 
cially those  that  illustrate  tropical  diseases  and  those  that  show  the 
effects  of  modern  firearms  and  of  the  more  primitive  weapons  that 
are  still  employed  in  warfare.  Specimens  of  arms,  medicines,  medical 
instruments  and  appliances,  when  any  of  these  differ  from  those  used 
by  the  white  race  in  the  United  States,  will  be  acceptable.  Speci- 
mens of  poisonous  insects  and  reptiles  are  also  desired. 

(a)  Soft  tissues,  intended  for  gross  specimens,  should  be  placed  in 
a  solution  of  one  part  formalin  and  four  parts  water,  the  specimen 
being  completely  covered  by  the  solution.  The  fluid  on  very  soft 
tissue,  or  large  masses  of  tissue,  such  as  the  liver,  spleen,  etc.,  should 
be  renewed  after  the  first  two  or  three  days.  When  formalin  is  not 
obtainable,  commercial  alcohol  may  be  used.  Bones  and  joints,  after 
having  been  roughly  cleaned,  may  be  simply  wrapped  in  a  cloth  wet 
with  the  preservative  solution  and  then  again  wrapped  in  oiled  paper 
or  silk. 


58  MANUAL   FOB    THE   MEDICAL   DEPARTMENT. 

(h)  Soft  tissues  intended  for  microscopical  examination  should  be 
cut  into  small  pieces  and  placed  in  a  solution  of  one  part  formalin  and 
nine  parts  water,  or  in  alcohol. 

(c)  Since  glass  and  earthenware  vessels  are  liable  to  be  broken  in 
transit,  the  use  of  tin  vessels  for  large  wet  specimens  is  recommended, 
the  covers  to  be  tightly  soldered  on.  Wliatever  vessel  is  used  should 
be  packed  in  sawdust,  excelsior  packing,  stiff  paper,  or  equivalent 
substitute,  in  a  wooden  box. 

(fZ)  A  tag  should  be  firmly  affixed  to  every  specimen.  It  should 
have  a  number  or  letter  and  give  the  name  of  the  donor,  the  date 
and  place  of  collection,  and,  if  practicable,  a  brief  description  of  the 
specimen  itself.  In  the  case  of  wet  specimens  put  up  in  alcohol  these 
data  should  be  written  in  pencil  (which  is  not  affected  by  alcohol) 
upon  a  slip  of  wood.  Wlien  formalin  is  used,  the  data  should  be 
written  on  a  slip  of  paper  and  inclosed  in  a  vial,  which  should  be 
attached  to  the  specimen.  A  letter  of  advice  reporting  the  mark  on 
the  specimen,  briefly  describing  it  and  giving  its  history,  should  be 
sent  direct  to  the  curator  of  the  Army  Medical  Museum.  The  more 
complete  the  history  the  more  acceptable  the  specimen  will  be. 

(e)  Although  Army  Regulations  authorize  the  transportation  of  all 
such  contributions  by  the  Quartermaster  Corps,  nevertheless  if  the' 
importance  of  the  specimen  or  its  security  demands  a  more  prompt 
delivery,  the  package  may  be  sent  direct  by  express  on  a  Government 
biU  of  lading  (forms  for  which  wiU  be  furnished  by  the  curator)  to 
the  curator  of  the  museum,  who  wiU  arrange  for  the  payment  of  the 
transportation  charges.  Small  dry  specimens  may  be  sent  by  mail, 
and  small  wet  specimens  also,  if  inclosed  in  the  containers  which  have 
been  approved  by  the  Post  Office  Department. 

(/)  The  receipt  of  every  package  will  be  duly  acknowledged  and 
the  specimen  credited  to  the  contributor. 

ARMY    MEDICAL    SCHOOL. 

136.  The  school  wiU  be  known  as  the  Army  Medical  School  and 
wiU  be  located  in  Washington,  D.  C.  Its  personnel  will  consist  of 
the  faculty,  such  special  professors  and  instructors  as  may  be  as- 
signed to  temporary  duty  at  the  school,  the  students,  and  such 
enlisted  men  and  civilian  employees  as  may  be  assigned  to  it  for  duty. 
Its  object  is  to  train  the  students  therein  in  the  subjects  that  pertain 
to  the  duties  of  the  Medical  Department.  It  will  also  carry  on  such 
scientific  work  and  investigations  as  may  be  directed  or  authorized 
by  proper  authority.  '.' 

137.  The  commandant,  professors,  and  assistant  professors  ar-e 
detailed  by  the  War  Department  from  among  the  officers  of  the 
Medical  Corps;  the  special  professors  are  nominated  by  the  faculty, 
with  the  approval  of  the  Surgeon  General,  from  among  distinguished 


EDUCATION   AND   TEAINTNO.  '59 

members  of  the  Medical  Reserve  Corps;  the  instructors  are  officers 
of  other  branches  of  the  Army  detailed  b}^  the  War  Department  to 
give  special  courses  of  mstruction. 

THE    FACULTY. 

138.  The  faculty  will  consist  of  the  commandant,  who  shall  be  its 
president,  the  professoi's,  and  assistant  professors.  It  will  meet  at 
such  times  as  the  commandant  shall  deem  advisable.  It  will  arrange 
the  program  of  instruction,  prescribe  the  textbooks  appropriate 
thereto,  the  allotment  of  time  to  each  subject,  and  the  character  and 
scope  of  the  exammations  and  will  have  final  determination  of  aU 
questions  concerning  the  proficiency  of  students,  subject,  however,  in 
all  respects  to  the  express  provisions  of  law,  of  the  Manual  for  the 
Medical  Department  and  other  orders  and  regulations  issued  by 
authority  of  the  Secretary  of  War.  The  adjutant  will  be  the 
secretary  of  the  faculty. 

ADMINISTRATION. 

139.  The  general  administration  of  the  school  is  intrusted  to  the 
commandant.  In  case  of  the  absence  of  the  commandant  the  senior 
professor  present  wiU  be  the  acting  commandant.  The  comman- 
dant wiU  report  annually  on  or  before  July  1,  the  progress  of  the 
school  and  its  needs,  including  an  account  of  the  instruction  given 
and  the  proficiency  of  the  several  students. 

140.  The  adjutant  will  be  chosen  by  the  commandant  from  among 
the  professors  or  assistant  professors.  He  wiU  be  the  custodian  of 
the  records  of  the  faculty,  will  conduct  the  correspondence  of  the 
school,  and  will  promulgate  the  orders  of  the  commandant. 

141.  The  property  officer  will  be  chosen  by  the  commandant  from 
among  the  professors  or  assistant  professors.  He  will  be  accountable 
for  aU  the  property  of  the  school,  and  may,  under  the  direction  of  the 
commandant,  make  authorized  purchases  for  the  school  and  certify 
accounts  therefor  for  settlement. 

THE    STUDENTS. 

142.  The  student  body  will  consist  of  officers  of  the  Medical  Re- 
serve Corps  who  are  candidates  for  appointment  in  the  Medical  Corps 
(par.  8),  such  medical  officers  of  the  Army  and  of  the  Organized 
Mihtia  as  may  be  ordered  or  authorized  to  attend  the  school,  and 
enlisted  men  of  the  Hospital  Corps  ordered  to  the  school  for  instruc- 
tion. 

143.  Candidates  for  appointment  in  the  Medical  Corps. — ^AU  candi- 
dates for  appointment  in  the  Medical  Corps  of  the  Army  who  pass  the 
preliminary  examination  will  be  required  to  attend  the  school,  in 
conformity  with  paragraph  8.  ,  ^^^^  rmeJ-I>ifli 


60  MANTTAL   FOE    THE   MEDICAL   DEPARTTVIEXT. 

(a)  The  school  term  will  commonce  on  October  1  of  each  year  and 
will  continue  for  a  period  of  eight  months. 

(h)  The  course  of  instruction  will  be  both  theoretical  and  practical 
and  wiU  comprise  the  following  subjects: 

First  period  {Oct.  1  to  Jan.  31). 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis.. 

(2)  Medical  Department  administration. 

(3)  Mihtary  hygiene. 

(4)  Military  surgery. 

(5)  Mihtary  medicine  and  tropical  medicine. 

(6)  Sanitary  chemistry. 

(7)  Sanitary  tactics  (including  map  reading  and  sanitary-service 
problems) . 

(8)  Ophthalmology. 

(9)  Roentgenology. 

(10)  Equitation. 

Second  period  {Feh.  1  to  May  31). 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis. 

(2)  Medical  Department  administration. 

(3)  Military  hygiene. 

(4)  Military  surgery. 

(5)  Mihtary  medicine  and  tropical  medicme. 

(6)  Sanitary  chemistry. 

(7)  Sanitary  tactics  (mcludmg  map  reading  and  sanitary-service 
problems). 

(8)  Ophthalmology. 

(9)  Operative  surgery  on  the  cadaver. 

(10)  Roentgenology. 

(11)  Psychiatry. 

(12)  Military  law. 

(13)  Equitation. 

(14)  Lectures  by  special  professors. 

(c)  Examinations  will  be  held  at  the  end  of  each  period  and  at  such 
times  throughout  the  course  as  individual  professors  may  deem  advis- 
able. 

A  candidate  who  is  unable  to  take  the  final  examination  with  his 
class,  owing  to  sickness  or  other  unavoidable  cause,  will  be  examined 
as  soon  as  practicable  thereafter.  For  this  examination  the  topics 
and  questions  will  be  similar  to,  but  not  identical  with,  those  given 
in  the  general  examination. 

(d)  Ratings  for  graduation  are  made  by  the  faculty  upon  the  pro- 
ficiency shown  in  the  course  pui-suod  during  the  school  term  and  at  the 
mid-term  ^nd  the  final  examinations,  and  upon  deportment. 


EDUCATION   AND   TRAINING.  61 

Candidates  who  obtain  a  general  average  of  80  per  cent  in  the  total 
rating  and  who  do  not  fall  below  70  per  cent  in  any  one  subject  will 
be  given  certificates  of  graduation  (Form  67)  from  the  school.  Grad- 
uates who  have  attained  an  average  of  80  per  cent  wiU  be  rated  as 
"proficient,"  and  those  who  have  attained  an  average  of  90  per  cent 
wiU  be  rated  as  "proficient  with  honor." 

(e)  If  it  shall  appear  during  a  candidate's  attendance  at  the  school 
that  his  appointment  to  the  Medical  Corps  would  be  undesii-able,  he 
wiU  forthwith  be  reUeved  from  active  duty  and  his  discharge  from 
the  service  recommended.  In  cases  of  gross  misconduct,  travel  home 
prior  to  rehef  from  active  duty  will  not  be  ordered. 

(/)  If  the  candidate  fails  to  qualify  for  graduation  conformably 
to  the  regulations  of  the  school,  he  will  be  relieved  from  active  duty 
and  his  discharge  from  the  service  recommended.  A  second  course 
in  the  school  will  in  no  case  be  allowed. 

144.  Medical  officers  of  the  Army. — ^Any  medical  officer  of  the  Army 
may,  upon  the  recommendation  of  the  Surgeon  General,  be  detailed 
for  special  instruction  at  the  school.  Medical  officers  of  the  Army 
who  are  stationed  at  or  near  the  city  of  Washington,  or  are  on  leave, 
may,  with  the  permission  of  the  Surgeon  General,  attend  the  school. 
Apphcation  in  such  cases  will  be  made  through  mihtary  channels. 

(a)  Medical  officers  of  the  Army  who  have  pursued  the  prescribed 
special  course  of  instruction  with  proficiency  will  be  given  certificates 
to  that  effect. 

145.  Medical  officers  of  the  Organized  Militia. — ^Medical  officers  of 
the  Organized  Mihtia  are  admitted  to  the  school  under  the  provisions 
of  section  16,  act  of  January  21,  1903,  as  amended  by  act  of  May  27, 
1908  (35  Stats.,  402),  and  the  following  regulations: 

(a)  A  mihtia  officer  in  order  to  be  eligible  for  the  course  of  mstruc- 
tion  must  be  below  the  grade  of  lieutenant  colonel  and  not  less  than 
22  nor  inore  than  35  years  of  age.  He  must  be  physically  qualified, 
of  good  moral  character,  and  a  citizen  of  the  United  States.  He 
must  have  been  a  member  of  the  Organized  Militia  for  at  least  one 
year,  and  must  possess  such  prefiminary  educational  quahfications 
as  wiU  enable  him  to  participate  profitably  in  the  prescribed  course 
of  instruction. 

(h)  Mihtia  officers  desiring  to  attend  the  school  must  be  nominated 
to  the  Secretary  of  War  by  the  governors  of  their  respective  States  and 
Territories,  or  by  the  commandmg  general.  District  of  Columbia 
Mihtia,  and  the  nomination  must  in  each  case  be  accompanied  by  an 
affidavit  of  the  nominee,  stating  his  age,  citizenship,  the  medical 
school  from  which  he  received  his  degree,  the  date  of  his  graduation, 
and  the  length  of  his  service  in  the  Organized  Militia,  and  by  a  cer- 
tificate from  the  colonel  of  his  regiment  or  other  satisfactory  person 
as  to  his  good  moral  character. 


62  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

(c)  Militia  officers,  before  their  admission  to  the  school,  must  sign  an 
agreement  to  attend  and  pursue  the  required  course  of  study  and  to  be 
bound  by  and  conform  to  the  rules  and  disciphne  imposed  by  Army 
Regulations  and  the  regulations  of  the  school,  and  to  serve  at  least 
one  year  in  the  medical  department  of  the  Organized  Mihtia  of  their 
respective  States  after  completion  of  their  course  at  the  school. 

(d)  The  expense  to  the  Government  on  account  of  mihtia  officers 
attending  the  school  is  strictly  hmited  to  travel  allowances,  quarters 
or  commutation  of  quarters,  heat,  hght,  and  subsistence.  The  travel 
allowances  consist  of  mileage  or  transportation  allowed  by  law. 
Commutation  of  quarters  or  allowance  of  quarters  in  kind  is  the  same 
as  provided  by  law  for  officers  of  the  corresponding  grade  hi  the  Army. 
For  subsistence  each  mihtia  officer  is  paid  $1  per  day  while  in  actual 
attendance  at  the  school. 

(c)  Each  mihtia  officer  must  provide  liimself  with  the  proper  uni- 
forms of  his  State  or  Territory.  The  course  of  study  will  requhe  the 
entire  time  of  the  student,  so  that  no  outside  occupation  during  the 
school  term  will  be  practicable. 

(  f )  The  course  of  instruction  for  mihtia  officers  will  commence  on 
October  1  and  end  on  January  31  following.  It  wiU  be  both  theoreti- 
cal and  practical,  and  will  comprise  the  following  subjects: 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis. 

(2)  Medical  Department  administration. 

(3)  Military  hygiene. 

(4)  Mihtary  surgery. 

(5)  Military  medicine  and  tropical  medicine. 

(6)  Sanitary  chemistry. 

(7)  Sanitary  tactics  (including  map  reading  and  sanitary- 

service  problems). 

(g)  Examinations  will  be  held  at  the  end  of  the  period  and  at  such 
times  throughout  the  course  as  individual  professors  may  deem 
advisable. 

(h)  Any  officer  showing  neglect  of  his  duties  or  a  disregard  of 
orders  will  be  reported  to  The  Adjutant  General  of  the  Army  with  a 
view  to  withdrawal  of  the  authority  to  attend  the  school. 

(^)  A  militia  officer  who  attains  a  general  average  of  80  per  cent  m 
the  total  rating  and  who  does  not  fall  below  65  per  cent  in  any  one 
subject,  will  be  given  a  certificate  of  proficiency,  and  such  fact  will 
be  reported  to  the  governor  of  liis  State  or  Territory,  or,  in  the  case 
of  a  medical  officer  of  the  Organized  Militia  of  the  District  of  Columbia, 
to  the  conmianding  general,  District  of  Columbia  Militia. 

ij)  A  militia  oflicer  who  fails  to  obtain  the  rathig  necessary  to 
secure  a  certificate  of  proficiency,  but  wlio  has  shown  zeal  and  inter- 
est in  his  work,  may,  at  the  discretion  of  the  commandant,  be  given 
a  certificate  of  attendance. 


EDUCATION   AND   TRAINING.  63 

146.  Enlisted  men  of  the  Hospital  Corps. — Such  enlisted  men  of  the 
Hospital  Corps  as  the  Surgeon  General  may  from  time  to  time  select 
will  be  ordered  to  the  school  for  instruction  in  bacteriological  labora- 
tory work,  roentgenology,  photography,  or  other  special  subject. 

(a)  Enhsted  men  who  satisfactorily  complete  the  course  prescribed 
for  them,  will  be  given  a  certificate  of  proficiency  therein.  (Form 
60&.) 

THE  ARMY  FIELD   SERVICE  AND   CORRESPONDENCE 
SCHOOL  FOR  MEDICAL  OFFICERS. 

147.  This  school  is  a  branch  of  the  Army  Service  Schools  at  Fort 
Leavenworth  and  is  governed  by  regidations  published  in  general 
orders.     (See  Appendix:  Medical  Officers.) 

FIELD  PROBLEMS   FOR  MEDICAL  OFFICERS. 

148.  The  duty  which  devolves  upon  the  Medical  Department  as  a 
whole,  and  upon  each  unit  and  individual  in  particular,  to  be  ready 
at  aU  times  to  render  such  service  as  might  be  required  in  war,  is 
coordinate  with  the  obhgation  to  maintain  sanitary  conditions  and 
render  medical  attendance  to  troops  in  garrison  in  time  of  peace. 
That  this  may  be  reaUzed,  emphasis  should  be  laid  on  the  necessity 
for  utihzing  to  the  fullest  extent  every  opportunity  which  is  pre- 
sented for  training  in  the  duties  of  field  service. 

Each  individual  of  the  sanitary  service  should  know  his  own  duty 
and  the  duty  of  each  of  those  under  him,  if  he  is  in  command ;  and,  in 
addition,  should  have  sufficient  knowledge  of  the  mission  of  those 
with  whom  he  comes  in  contact  to  insure  concert  of  action. 

149.  The  knowledge  required  is  both  theoretical  and  practical. 
The  former  embraces  the  study  of:  (1)  The  general  principles  which 
govern  combatant  forces  and  the  resultant  conditions  with  which 
the  sanitary  service  has  to  deal  including  conditions  of  the  march, 
camp,  and  the  several  forms  of  combat,  the  system  of  supply  and  the 
methods  of  communication;  (2)  the  general  scheme  of  administration; 
(3)  the  composition  and  disposition  of  organizations  including  the 
space  which  they  occupy  on  the  road  and  in  camp  and  the  places 
assigned  to  Medical  Department  organizations  and  individuals  with 
relation  to  the  combatant  troops;  (4)  the  nature  of  the  sanitary 
service  which  will  be  required  by  the  troops  and  the  equipment  and 
personnel  which  may  be  necessary  for  that  service  under  different 
conditions.  Strictly  speakmg,  knowledge  of  the  latter  is  obtainable 
only  under  war  conditions,  but  very  much  of  a  practical  nature  may 
be  learned  by  a  study  of  drill  regulations  and  by  applying  them  in 
simulated  war  conditions,  such  as  field  exercises  with  mobile  troops. 

160.  War  plans  and  plans  for  the  conduct  of  maneuvers  simulating 
war  are  based  on  certain  hypotheses  published  by  the  War  Depart- 


64  MANUAL  FOR   THE   MEDICAL   DEPARTMENT. 

ment  in  its  various  manuals  governing  the  details  of  organization, 
the  plans  for  mobilization,  and  the  general  operation  of  the  service 
in  war.  A  method  of  instruction  in  very  general  use  consists  in  the 
formulation  of  problems  based  on  the  hypotheses  contained  in  official 
pubhcations  which  develop  questions  involving  the  tactical  adminis- 
tration of  organizations,  and  which  call  for  the  application  of  theo- 
retical knowledge  if  the  problem  is  a  map  problem  or  problem  for 
written  solution,  and  of  both  theoretical  and  practical  knowledge  in 
case  of  a  field  problem.  The  sanitary  service  should  avail  itself  of 
all  opportunities  which  present  to  cooperate  with  line  troops  in  the 
solution  of  problems  and  should  formulate  problems  for  the  purpose 
of  developing  situations  simulating  those  which  the  sanitary  service 
would  be  required  to  meet  in  time  of  war. 

151.  The  hypotheses  generally  accepted  by  the  line  should  form 
the  bases  of  all  problems  so  formulated;  for  example,  a  sanitary 
problem  should  be  formulated  in  accordance  with  the  strength  of 
organizations  as  pubhshed  in  regulations,  with  the  order  of  organiza- 
tions 4n  the  march  table,  with  the  road  space  allotted,  with  the 
distances  published  as  normally  covered  by  marching  troops,  with 
the  rate  of  speed  of  messengers,  etc.  It  is  always  understood  that 
these  hypotheses  are  to  be  regarded  as  general,  and  that  actual 
conditions  may  deviate  widely  from  them. 

152.  Certain  general  deductions  may  be  made  from  experience 
in  war,  which  will  serve  as  hypotheses  on  which  plans  for  the  operation 
of  the  sanitary  service  may  be  based.  Casualties  may  be  estimated 
at  10  per  cent  of  the  troops  engaged,  with  the  understanding  that 
certain  organizations  may  suffer  very  much  heavier  losses,  while  some 
may  suffer  less.  Of  the  casualties,  the  killed  may  be  estimated  at  20 
per  cent;  seriously  wounded,  8  per  cent;  less  seriously  wounded  but 
requiring  transportation,  32  per  cent;  the  wounded  able  to  walk  to 
dressing  stations  or  field  hospitals,  40  per  cent.  The  demand  for  bed 
capacity  in  the  rear  of  the  zone  of  the  advance  will  depend  upon  the 
frequency  and  severity  of  the  engagements.  There  have  been 
instances  when  after  several  months  campaigning  it  has  reached  40 
per  cent  of  the  strength  of  the  Army  maintained  at  the  front.  For 
field  problems  it  should  be  assumed  that  a  bod  capacity  equivalent 
to  10  per  cent  of.  the  total  force  in  the  zone  of  the  advance  is  imme- 
diately available  when  troops  take  the  field,  and  that  facilities  have 
been  provided  for  promptly  supplementing  that  number  should  the 
occasion  require. 

153.  The  total  number  of  sick  and  wounded  to  be  provided  for 
having  been  detei-mined,  base  or  general  hospitals  are  allotted  in  the 
proportion  of  I  to  each  500  bt^ls  to  l)e  provided.  It  may  be  assumed 
that  the  total  medical  personnel  required  from  front  to  rear  will  be 
equivalent  to  10  per  cent  of  the  total  strength  of  the  troops  in  the 


EDUCATION    AND    TRAINING.  65 

home  territory  and  in  the  theater  of  operations.  Of  this  personnel, 
it  may  be  assumed  that  8  per  cent  will  be  required  to  be  organized 
and  that  2  per  cent  will  be  unorganized  (individual  voluntary  aid 
and  civilians  impressed  or  hired  as  occasion  may  demand) .  Of  the 
total  of  10  per  cent  required  it  may  be  assumed  that  the  medical 
service  of  the  Army  will  be  handled  by  civilian  assistants  to  the  ex- 
tent of  3  per  cent  (1  per  cent  organized  into  hospital  columns  and  field 
columns — paragraph  536^ — and  2  per  cent  unorganized) ;  and  that 
the  7  per  cent  belonging  to  the  Army  will  be  distributed  as  follows: 
Medical  officers,  0.74  per  cent;  Nurse  Corps,  0.52  per  cent;  enlisted, 
5.74  per  cent.  The  total  number  of  medical  officers  required  may  be 
estimated  at  1  per  cent  or  above,  assuming  that  whatever  is  required 
above  0.74  per  cent  will  be  furnished  from  civilian  sources  (Medical 
Reserve  Corps).  Of  the  10  per  cent  of  sanitary  personnel  thus  pro- 
vided, 4  or  5  per  cent  may  be  assumed  as  allotted  to  the  zone  of  the 
advance  and  the  balance  on  the  line  of  communications  or  in  the 
home  territory,  depending  upon  the  policy  of  the  administration  as 
to  where  the  sick  and  wounded  sent  to  the  rear  are  to  be  cared  for. 

In  the  past,  armies  have  required  for  their  sanitary  service  as  a 
whole,  from  front  to  rear,  one  individual  for  every  man  sick  or 
wounded,  this  being  due  to  the  fact  that  more  than  one-half  of  the 
personnel  required  for  the  service  is  held  in  readiness  to  render  first 
aid  and  transport  disabled  to  the  rear,  and  is  not  available  for  their 
care  thereafter. 

INSTRUCTION    IN    HYGIENE.  / 

154.  Hygiene  is  taught  to  cadets  at  West  Point  conformably  to  the 
Regulations  for  the  United  States  Military  Academy,  and  to  commis- 
sioned officers  of  the  Army  and  of  the  militia  at  garrison  and  service 
schools  as  prescribed  by  general  orders  issued  from  time  to  time  for 
the  regulation  of  military  education  in  the  Army. 

INSTRUCTION  IN  FIRST  AID.  f 

165.  The  instruction  necessary  to  enable  company  officers  to  drill 
the  enlisted  men  in  their  companies  in  the  duties  of  litter  bearers  and 
methods  of  rendering  first  aid  to  the  sick  and  wounded  will  be  given 
chiefly  by  practical  demonstrations  made  in  their  presence.  The 
prescribed  drills  of  the  detachment  of  the  Hospital  Corps  will  be 
utilized  for  this  purpose,  especial  attention  being  given  to  the  instruc- 
tijon  in  first  aid.  The  practical  demonstrations,  accompanied  by  full 
explanations,  should  include  methods  of  arresting  hemorrhage,  of 
applying  the  dressings  contained  in  the  first-aid  packet,  of  immobiliz- 
ing a  fractured  limb,  of  resuscitating  those  apparently  drowned,  etc., 
and  should  be  supplemented  by  lectures  designed  to  convey  all  essen- 
93440°_17 5 


66  MANUAL  FOR   THE    MEDICAL   DEPARTMENT. 

tial  information  with  reference  to  the  anatomy  of  bones  and  blood 
vessels,  the  causes  and  treatment  of  syncope  and  of  heat  exhaustion, 
the  differential  diagnosis  and  treatment  of  sunstroke,  the  rationale  of 
the  various  measures  of  first  aid  to  the  sick  and  wounded,  etc. 

TRAINING  OF  THE  HOSPITAL  CORPS,    GENERAIi. 

156.  While  the  personnel  of  the  Medical  Department  has  important 
duties  to  perform  in  peace,  as  well  as  in  war,  readiness  for  active 
service  should  be  one  of  the  principal  objectives  to  be  kept  ia  view 
in  all  peace-time  training.  The  activities  of  all  concerned  will  con- 
sequently be  directed  toward  the  attainment  of  that  end.  The  value 
of  an  organization  is  to  be  judged,  not  only  by  the  efficient  per- 
formance of  its  function  during  peace,  but  by  its  ability  to  take  the 
field  and  to  meet  successfully  every  phase  of  war  service.  Command- 
ing officers  of  sanitary  units  and  Hospital  Corps  detachments  will 
be  given  great  latitude  in  the  choice  of  ways  and  means  for  trainhag 
their  personnel  and  will  be  held  to  a  corresponding  responsibility  for 
results  attained. 

FIELD   HOSPITALS  AND  AMBULANCE   COMPANIES. 

157.  A  hmited  number  of  field  hospitals  and  ambulance  companies 
are  maintained  in  time  of  peace  to  provide  trained  organizations  for 
duty  with  the  troops  when  they  are  on  field  service  and  to  afford  a 
means  for  training  officers  and  men  of  the  sanitary  service  in  the 
work  of  the  sanitary  field  organizations.  So  far  as  practicable  men 
trained  in  these  organizations  should  constitute  that  portion  of  the 
Hospital  Corps  personnel  at  posts  which  is  assigned  to  units  of  the 
divisional  sanitary  train  on  mobilization.  (See  Army  Regulations: 
Hospital  Corps.) 

In  the  training  of  these  organizations  special  attention  should  be 
given  to  those  elements  of  field  work  for  instruction  in  w^hich  only 
limited  facilities  are  afforded  at  posts,  such  as  the  practical  use  of  the 
articles  of  field  equipment,  lines  of  aid,  equitation,  care  of  animals, 
and  the  use  of  the  pack  saddle. 

158.  The  personnel  of  these  organizations  in  time  of  peace  com- 
prise two  classes:  (1)  A  permanent  cadre,  consisting  of  such  number 
of  noncommissioned  officers  and  men  as  are  deemed  necessary  to 
maintain  continuity  of  policy  and  method  in  instruction;  (2)  tem- 
porary personnel  attached  to  these  organizations  for  purposes  of 
instruction. 

(a)  Details  of  organization  of  field  hospitals  and  ambulance  com- 
panies are  given  in  Tables  of  Organization. 

159.  On  field  service  with  a  mobilized  division,  field  hospitals  and 
ambulance  companies  operate  under  directors,  whose  relation  to  them 


EDUCATION    AND    TRAINING.  67 

is  similar  to  that  of  a  major  of  the  line  to  his  battalion.  (See  pars. 
652  and  692.)  In  time  of  peace  when  two  or  more  of  these  miits  take 
permanent  station  at  the  same  post  imder  conditions  which  do  not 
warrant  the  assignment  of  a  du-ector,  the  senior  officer  on  duty  with 
the  organizations  will  assume  in  general  the  duties  of  a  director 
of  the  several  units  in  addition  to  his  duties  as  company  commander. 
For  purposes  of  post  administration,  the  several  units  may  be  treated 
as  a  sanitary  battaUon,  a  combined  morning  report  being  furnished, 
etc. 

160.  The  senior  officer  of  two  or  more  field  hospitals  or  ambulance 
companies  will  conduct  the  course  of  instruction  as  though  they  were 
a  single  organization,  and  will  assign  the  instructors  from  the  per- 
manent personnel  of  the  organizations,  as  he  may  deem  best.  In 
other  respects,  however,  the  several  organizations  will  retain  their 
autonomy  as  separate  and  distinct  administrative  and  tactical  units, 
each  under  the  command  of  its  own  senior  medical  officer.  The 
discipline  and  interior  economy  of  these  organizations  wiU,  so  far  as 
practicable,  conform  to  those  of  a  company  of  infantry. 

161.  The  program  of  instruction  for  these  organizations,  the 
sequence  of  the  subjects,  the  manner  in  which  the  same  shall  be 
taught,  the  details  thereof  to  be  taken  up,  and  the  number  of  hours  to 
be  given  to  each  will  be  prescribed  by  the  War  Department. 

162.  The  course  for  privates  first  class  and  privates  will  comprise, 
in  addition  to  discipline,  the  following  subjects:  (1)  Duties  of  a  sol- 
dier; (2)  bearer  drill;  (3)  first  aid,  including  bandaging  and  the  use  of 
Medical  Department  equipment;  (4)  personal  and  camp  hygiene, 
including  the  sterilization  of  water  and  disinfection;  (5)  anatomy  and 
physiology;  (6)  care  of  animals,  equitation,  packing,  and  driving;  (7) 
the  operation  of  the  sanitary  service  in  the  field. 

163.  Records  of  class  work  will  be  kept  for  each  individual  in  each 
subject  of  the  course,  preferably  upon  loose  sheets  appropriately 
ruled  or  m  a  blank  book  adapted  to  the  purpose. 

(a)  The  relative  standings  of  men  pursuing  the  same  courses,  as 
determined  by  their  average  monthly  standings,  will  be  published 
monthly  to  their  respective  classes. 

164.  Privates  first  class  and  privates  who  obtain  a  final  mark  of 
70  per  cent  in  each  subject  of  the  course,  wiU  be  given  certificates  of 
proficiency  on  Form  60. 

(a)  Any  man  who,  after  two  months'  instruction,  shows  such 
mental  incapacity  and  inaptitude  as  to  render  his  further  attendance 
on  this  course  of  mstruction  useless,  will  be  reported  to  the  Surgeon 
General  for  his  action. 

(b)  Men  who  fail  to  attain  proficiency  in  any  subject  may,  in  the 
discretion  of  the  officer  in  charge  of  instruction,  bo  required  to  go  over 
the  subject  again. 


68  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

165.  Enlisted  men  of  the  permanent  personnel  who  shall  have 
taken  the  prescribed  course  and  obtained  certificates  of  proficiency- 
will  not  ordinarily  be  required  to  take  the  course  again ;  but  should 
it  subsequently  appear  probable  that  any  such  enlisted  man,  having 
a  certificate  of  proficiency,  is  nevertheless  not  proficient  in  one  or 
more  of  the  subjects,  he  may  be  required  to  take  the  course  therein 
once  more.  If  upon  the  second  course  the  soldier  does  not  show 
proficiency,  his  former  certificate  will  be  canceled  by  ^vriting  across 

its  face  the  words:  "Canceled  for  failure  to  qualify  in (naming 

the  subject  or  subjects)  on  second  course, to ,  19     ." 

This  notation  will  be  signed  by  the  officer  in  charge  of  instruction. 
Failure  to  qualify  on  such  second  course  will  be  reported  at  once  to 
the  Surgeon  General  with  a  view  to  securing  the  soldier's  transfer 
to  post  duty,  it  being  the  aim  of  the  department  to  retain  in  the 
permanent  personnel  only  such  qualified  men  as  will  be  a  constant 
example  of  efficiency  to  the  men  of  the  temporary  personnel  attached 
for  instruction.  Should,  however,  the  soldier  taking  such  second 
course  in  whole  or  in  part  be  again  found  proficient  a  new  certifi- 
cate of  proficiency  will  not  be  given  him,  but  a  notation  of  the  facts 
will  be  made  in  his  descriptive  list.  A  third  course  will  be  required 
in  no  case.  Lack  of  efficiency  in  practical  work  after  a  second  course 
will  indicate  the  necessity  of  other  measures  of  discipline. 

166.  Further  regulations  for  the  government  of  field  hospitals  and 
ambulance  companies  and  the  training  of  their  personnel  will  be 
found  in  Drill  Regulations  and  Service  Manual  for  Sanitary  Troops. 

HOSPITAL    CORPS    DETACHMENTS. 

167.  Every  Hospital  Corps  detachment  under  the  command  of  a 
medical  officer  will  undergo  the  instruction  hereinafter  prescribed, 
unless  excused  therefrom  by  special  direction  of  the  Surgeon  General. 

DISCIPLINE    AND    DUTIES    OF   THE    SOLDIER. 

168.  Instruction  in  discipline — including  character,  conduct,  mili- 
tary bearing,  obedience,  and  general  efficiency — is  to  be  taken  up  at 
once  when  the  recruit  joins  the  detachment,  and  never  ceases,  being 
given  by  commissioned  and  noncommissioned  officers  in  connection 
with  the  soldier's  daily  round  of  duties  and  continued  as  long  as  he 
remains  in  the  service. 

169.  Instruction  in  the  duties  of  the  soldier  will  cover  the  Articles 
of  War,  the  soldier's  handbook,  the  orders  and  regulations  in  regard 
to  saluting,  the  granting  of  indulgences,  arrest  and  confinement,  the 
wearing  of  uniforms,  etc.  Besides  the  few  hours  of  fornuil  teaching 
provided  for  in  the  first  regular  winter  course  in  garrison  every  oppor- 
tunity should  be  taken  at  all  times  to  impart  information  in  these 
various  subjects. 


EDUCATION    AND   TRAINING.  69 

BEARER    DRILL    AND    FIELD    WORK. 

170.  Instruction  in  drill  and  field  work  will  be  given  throughout 
the  year  for  one  hour  a  week.  All  members  of  the  detachment  will 
attend  it  unless  excused  by  the  surgeon  for  some  special  reason. 

(a)  This  instruction  includes  all  the  subjects  in  Part  I  of  the  Drill 
Regulations  and  Service  Manual  for  Sanitary  Troops  and  all  the 
usual  employments  of  fieldw^ork,  especially — 

Uses  of  the  first-aid  packet. 

Uses  of  other  articles  of  the  individual  equipment  of  the  Hospital 
Corps  soldier. 

First-aid  treatment  of  fractures  in  all  regions  of  tlie  body. 

The  methods  of  transporting  wounded  in  peace  and  in  war. 

Organization  of  the  ambidance  company.  Work  of  the  ambulance 
company  durmg  an  action.  Establishment  of  aid  and  dressmg  sta- 
tions. Collection,  care,  and  transportation  of  the  wounded  from 
the  firing  line  to  the  field  hospital,  with  the  tagging  of  patients  and 
the  treating  of  them  as  indicated,  using  first-aid  equipment  and 
extemporized  materials. 

Use  and  care  of  articles  of  field  hospital  equipment. 

Pitching  and  striking  tentage  and  packing  field  equipment. 

171.  Full  advantage  should  be  taken  of  the  summer  marching  and 
encampment  of  troops  to  impart  the  above  instruction. 

(a)  Occasionally,  throughout  the  year,  all  available  men  should 
be  taken  out  for  marches  with  and  without  the  litter. 

CARE    OF    ANIMALS    AND   EQUITATION. 

172.  Men  of  the  Hospital  Corps  will  be  instructed  in  the  care  of 
animals  and  in  equitation  as  prescribed  in  Army  Regulations  and  in 
General  Orders. 

WINTER    COURSES    OF    INSTRUCTION    IN   GARRISON. 

173.  The  regular  winter  courses  of  instruction  in  garrison  comprise 
a  period  of  34  weeks  from  November  1  to  June  30.  Acting  cooks 
will  be  required  to  attend  those  in  cooking  only.  All  the  other  men 
of  the  detachment  will  take  the  prescribed  courses,  except ' '  qualified  " 
men,  men  excused  by  the  Surgeon  General  from  further  instruction 
under  the  provisions  of  paragraph  178a,  and  the  absolutely  neces- 
sary attendants  in  the  hospital,  such  attendants  being  detailed  as 
far  as  practicable  from  the  "qualified"  men  and  those  excused  by 
the  Surgeon  General.  Night  nurses,  when  on  duty  all  night  as  such, 
will  be  considered  "necessary  attendants"  within  the  meaning  of 
this  paragra,ph. 

'III)   (li  l):>t<M!  r,  , 


70  MAXUAL    FOR    THE    MEDICAL   DEPARTMENT. 

174.  The  winter  courses  are  as  follows: 

Course  No.  1. — For  privates  first  class  and  privates.  Subjects: 
Duties  of  the  soldier,  hours  8;  anatomy  and  physiology,  hours  16; 
first  aid,  hours  20;  nursing,  hours  36;  total,  hours  80. 

Course  No.  2. — For  selected  privates  first  class  and  privates.  Sub- 
jects: CJooking  and  diet  cooking,  hours  12;  materia  medica  and  phar- 
macy, hours  24;  elementary  hygiene,  hours  8;  clerical  work,  hours 
12;  total,  hours  56. 

(a)  The  following  textbooks  will  be  used  for  study  and  reference: 
Mason's  Handbook  for  the  Hospital  Corps;  Drill  Regulations  and 
Service  Manual  for  Sanitary  Troops;  Manual  for  the  Medical  Depart- 
ment; Army  Regulations. 

175.  Practical  performance  of  the  work  they  are  being  instructed 
in  should  be  required  of  soldiers  pursuing  the  winter  courses.  While 
theoretical  teaching  by  lectures,  demonstrations,  and  recitations  from 
textbooks  has  its  place,  it  should  be  regarded  as  a  secondary  one. 

176 .  The  sequence  of  the  subjects  will  be  determined  by  the  depart- 
ment surgeon,  who  will  consider  the  climatic  and  other  conditions  in 
his  department  in  arranging  the  year's  instruction. 

177.  Each  subject  will  be  finished  before  taking  up  another,  and 
upon  its  conclusion  an  oral  examination  therein  will  be  held  b}-  the 
instructor,  under  the  direction  of  the  surgeon. 

178.  Records  of  class  work  in  the  winter  courses  will  be  kept  in  a 
blank  book  adapted  to  the  purpose.  Every  soldier  taking  the  courses 
will  be  marked  in  each  subject  thereof  daily. 

(a)  Men  who  obtain  a  final  mark  of  70  per  cent  in  any  subject  will 
be  classed  as  "qualified"  in  that  subject.  Men  who  fail  to  obtain 
70  per  cent  will  be  required  to  take  the  course  the  f  oUowmg  year.  If 
they  again  fail,  their  names  will  be  reported  to  the  Surgeon  General, 
who  may  in  his  discretion  excuse  them  from  subsequent  courses. 

(6)  Men  who  obtain  a  final  mark  of  70  per  cent  in  each  subject  of 
one  or  more  of  the  winter  courses  will  be  given  certificates  of  pro- 
ficiency therein  on  Form  60a. 

179.  Men  who  have  previously  qualified  will  be  examined  at  the 
beginning  of  the  winter  courses  to  ascertain  whether  they  continue 
qualified.  If  a  soldier  is  foimd  still  proficient  on  such  examination, 
that  fact  will  be  noted  in  his  descriptive  list  and  he  will  be  excused 
from  instruction  in  that  subject;  but  a  new  certificate  of  proficiency 
will  not  be  given  to  him.  If,  however,  he  is  found  deficient  in  any 
subject  or  subjects  he  will  be  required  to  take  the  ensuing  course  of 
garrison  instruction  therein. 

180.  Tlie  aggregate  number  of  hours  of  instruction  in  bearer  drill 
and  field  work,  in  care  of  animals  and  equitation,  and  in  the  regular 
garrison  courses  given  during  the  period  of  a  return  of  the  Hospital 
Corps,  Form  47,  to  each  soldier  carried  thereon,  will  be  noted  in  the 
appropriate  column  opposite  his  name  on  the  return. 


EDUCATION    AND   TRAINING.  71 

INSTRUCTION    IN    THE    FIELD. 

181.  In  the  field  special  attention  should  be  given  to  field  work,  to 
include  the  care  of  animals,  equitation,  use  of  field  appliances,  camp 
sanitation,  establishment  of  lines  of  aid  in  battle,  etc.  In  the  field  no 
limit  is  to  be  placed  on  the  amount  of  time  to  be  devoted  to  this 
instruction. 


ARTICLE  ni.— SANITATION. 


182.  Supervision  of  the  sanitation  of  a  post  or  command  is  one  of 
the  most  important  duties  devolving  upon  the  surgeon.  The  formal 
sanitary  reports  (see  par.  414)  prescribed  by  Army  Regulations  are 
the  appropriate  and  usual  vehicle  for  the  communication  of  his  views 
and  recommendations  concerning  sanitary  questions,  particularly 
those  which  require  the  action  of  department  commanders  or 
higher  authority.  But  he  should  not  content  himself  with  a  perfunc- 
tory rendition  of  these  reports.  His  watcMulness  over  sanitary 
conditions  should  be  unremitting ;  and  should  he  discover  any  defects 
therein  which  are  susceptible  of  correction  by  local  authority  he  should 
at  once  vei'bally  report  them  to  the  commanding  officer,  recommend- 
ing such  immediate  remedial  action  as  may  be  feasible. 

(a)  The  conditions  of  the  service  are  so  various  that  no  uniform 
rules  for  sanitary  inspections  and  for  bettering  the  sanitation  of  posts 
and  commands  can  be  framed.  The  medical  officer  must  adapt  his 
action  on  sanitary  questions  to  the  special  necessities  of  each  case, 
which  he  should  invariably  study  from  a  practical  standpoint.  His 
first  and  chief  efforts  should  be  bent  toward  the  correction  of  real 
sanitary  faults,  that  is,  faults  which  actually  have  produced  or  are 
likely  proximately  to  produce  disease,  rather  than  toward  the  correc- 
tion of  theoretical  defects  which,  though  objectionable  in  principle, 
are  nevertheless  inert,  have  caused  no  sickness,  and  show  no  likelihood 
of  causing  any.  It  will  be  time  enough  to  take  up  the  theoretical 
defects  after  the  practical  faults  are  cured.  This  is  especially  impor- 
tant in  the  field,  where  theoretical  perfection  is  unattainable.  So, 
again,  in  recommending  or  directing  corrective  measures,  the  medical 
officer  should  take  into  account  not  only  their  suitability  to  the  par- 
ticular end  in  view,  but  also  the  difficulty  of  procuring  them;  and 
when  the  remedy  which  is  theoretically  the  best  is  too  difficult  to 
procure  hv.  should  choose  some  other  one  nearer  at  hand  if  it  will 
reasonably  answer  tlie  purpose. 

INFECTIOUS    DISEASES. 

183.  Medical  officers  are  expected  to  be  familiar  with  approved 
methods  for  preventing  the  spread  of  infectious  disease  and  will  be 
held  responsible  for  their  propc^r  application  at  all  times.  In  the 
followhig  paragraplis  only  such  m(^asures  are  considered  as  have  been 
made  the  subject  of  aihninistrative  action. 

72 


SANITATION.  *73 

TYPHOID    FEVER    AND    PARATYPHOID    FEVER. 

184.  Early  detection  of  all  cases  of  typhoid  fever  is  necessary, 
especially  those  of  mild  or  ambulant  type,  and  of  all  typhoid  carriers 
or  excretors.  Undetermined  fevers  should  be  regarded  with  suspicion 
and  handled  Uke  typhoid  until  that  disease  is  excluded.  Specimens 
of  blood  from  suspected  oases  should  be  sent  promptly  to  the  nearest 
laboratory  for  diagnosis. 

185.  No  patient  convalescent  from  typhoid  should  be  released 
from  isolation  until  three  successive  examinations  of  his  stools  and 
urine,  collected  at  six-day  intervals,  have  shown  him  to  be  free  from 
typhoid  bacilli. 

186.  Under  existing  orders  all  officers  and  enlisted  men  of  the 
Army  under  45  years  of  age,  and  civilian  employees  subject  to  field 
service,  are  required  to  be  immunized  against  typhoid  fever.  The 
method  of  administration  of  the  typhoid  vaccine  is  prescribed  in 
instructions  from  the  Surgeon  General's  Office. 

187.  A  record  will  be  kept  by  the  surgeon  on  Form  81,  except  as 
otherwise  specially  authorized,  of  each  man  vaccinated,  showing  the 
number  of  doses  and  the  dates  upon  which  they  were  given.  Should 
the  soldier  leave  the  command  en  route  to  another  commanfl  before 
the  third  dose  of  typhoid  vaccine  is  given,  a  duphcate  of  the  incom- 
plete vaccination  card  should  be  sent  by  the  surgeon  direct  to  the 
surgeon  of  the  new  command  for  the  latter's  guidance  in  completing 
the  procedure. 

188.  Upon  the  administration  of  the  third  dose  to  an  enlisted  man 
the  surgeon  will  furnish  information  of  the  date  when  the  typhoid 
prophylaxis  was  completed  to  the  company  commander,  so  that  the 
proper  notation  may  be  made  upon  the  descriptive  list  of  the  soldier. 

189.  A  report  will  be  furnished  in  every  case  of  typhoid  fever  or 
paratyphoid  fever  occurring  in  an  ofiicer,  enlisted  man,  or  civifian 
employee  who  has  received  the  typhoid  vaccine,  describing  in  detail 
the  method  of  arriving  at  the  diagnosis. 

190.  The  practical  extinction  of  typhoid  fever  in  the  Army  affords 
an  excellent  opportunity  to  study  the  prevalence  and  distribution  of 
paratyphoid  fever  in  the  United  States,  as  well  as  to  clear  up  the  eti- 
ology of  the  fevers  of  undetermined  causation.  The  Widal  reaction 
bemg  of  no  value  in  immunized  persons,  some  other  method  of  diag- 
nosis is  necessary  to  distinguish  between  typhoid  and  paratyphoid 
and  other  continued  fevers.  This  is  best  accomplished  by  blood 
cultures,  and  it  is  desired  that  medical  oflBicers  make  use  of  them 
when  indicated. 

191.  Bile  medium  for  the  purpose  of  making  blood  cultures,  and 
containers  for  forwarding  feces,  urine,  and  blood  for  diagnostic  pur- 
poses may  be  obtained  by  direct  application  to  the  nearest  depart- 


74  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

ment  laboratory,  as  indicated  in  paragraph  354.     Two  bottles  of  this 
medium  will  be  kept  on  hand  in  each  hospital. 

Note. — See  also  paragraph   88,  and  Appendix:  Typhoid  Prophylaxis  and   Para- 
typhoid Fever. 

SMALLPOX. 

192.  Vaccination  being  recognized  as  an  effective  means  of  prevent- 
ing smallpox,  War  Department  orders  require  that  all  recruits  upon 
enhstment  and  all  soldiers  upon  reenlistment  shall  be  vaccinated. 
When  the  first  vaccination  of  a  recruit  is  noneffective,  it  will  be  re- 
peated at  the  end  of  eight  days. 

(a)  AU  the  personnel  of  a  military  command,  station,  or  transport, 
includmg  civilians  connected  therewith,  will  be  vaccinated  when,  in 
the  opinion  of  the  surgeon  responsible  for  proper  sanitation,  it  is 
necessary  as  a  means  of  protection  against  smallpox.  Civilians 
refusing  to  be  vaccinated  when  so  directed  by  proper  authority  may 
be  excluded  from  the  military  reservation  or  station. 

(6)  Officers  should  be  vaccinated  at  least  once  in  a  period  of  seven 
years.  Troops  under  orders  to  perform  over-sea  journeys  or  field 
service  wiU  be  inspected  by  a  medical  officer  with  respect  to  their 
protection  agamst  smallpox,  and  those  who  in  the  opinion  of  the 
medical  officer  require  it  wiU  be  vaccinated. 

193.  A  record  wiU  be  kept  by  the  surgeon  on  Form  81,  except  as 
otherwise  specially  authorized,  of  each  man  vaccinated,  showing  the 
date  of  vaccmation  and  the  result.  Should  the  soldier  leave  the  com- 
mand en  route  to  another  command  before  the  result  of  the  vaccina- 
tion is  ascertained  a  duplicate  of  the  incomplete  vaccination  card 
should  be  sent  by  the  surgeon  direct  to  the  surgeon  of  the  new  com- 
mand for  the  latter's  information  and  guidance. 

(a)  The  surgeon  will  notify  the  company  commander  of  the  date  of 
vaccination  and  the  result,  so  that  the  proper  notation  may  be  made 
upon  the  descriptive  fist  of  the  soldier. 

194.  The  method  of  performing  vaccination  will  be  in  accorchmce 
with  instructions  issued  by  the  War  Department. 

Note. — See  also. Appendix:   Vaccination. 

MALARIAL    FEVER. 

195.  To  secure  continuous  observation  and  proper  treatment  of 
eveiy  soldier  and  general  prisoner  suffering  from  malarial  infection 
a  register  of  each  case  will  be  kept  on  Form  56,  and  the  individual 
will  be  required  to  report  from  time  to  time  for  such  examination  or 
treatment  as  may  be  necessary. 

196.  The  register  will  be  begun  at  the  first  station  where  the 
(hagnosis  is  made  and  will  be  continned  until  \ho  pati(Mit  p(M-m!in(»Titly 
leaves  the  service. 


SANITATION.  75 

197.  When  the  patient  is  transferred  from  one  station  or  command 
to  another  the  register  will  be  sent  to  the  surgeon  of  the  new  station 
or  command.  On  the  arrival  of  the  register  the  surgeon  should 
request  that  the  patient  be  ordered  to  report  to  the  hospital  for 
examination.  If  the  facts  learned  from  the  record  or  obtained  from 
the  patient  show  that  any  symptoms  of  malaria  hare  been  present 
during  the  preceding  six  months,  an  examination  of  the  blood  should 
be  made  to  determine  whether  further  treatment  is  necessary. 

(a)  On  termination  of  service  or  confinement,  without  reenlistment, 
the  register  will  be  forwarded  to  the  Surgeon  General. 

VENEREAL   DISEASES. 

198.  The  following  quotations  are  from  existmg  orders  concerning 
venereal  diseases  (see  Appendix:  Venereal  Diseases): 

(a)  Commanding  officers  -will  require  that  men  who  expose  themselves  to  the  danger 
of  contracting  venereal  diseases  shall  at  once  upon  their  return  to  camp  or  garrison 
report  to  the  hospital  or  dispensaiy  for  the  application  of  such  cleansing  and  prophy- 
laxis as  may  be  prescribed  by  the  Surgeon  General.  Any  soldier  who  fails  to  comply 
with  such  instructions  shall  be  brought  to  trial  by  court-martial  for  neglect  of  duty. 

(b)  Commandmg  officers  will  require  a  medical  officer,  accompanied  by  the  com- 
pany or  detachment  commander,  to  make  a  through  physical  inspection  twice  in 
each  month  of  all  the  enlisted  men  (except  married  men  of  good  character)  of  each 

.  organizatiou  belonging  to  or  attached  to  the  command.  These  inspections  will  be 
made  at  times  not  known  beforehand  to  the  men  and  preferably  immediately  after  a 
formation.  The  dates  on  which  the  physical  inspections  of  the  various  organizations 
are  made  will  be  noted  on  the  monthly  sanitary  reports. 

(c)  At  these  inspections  a  careful  examination  of  the  feet  and  footwear  and  of  the 
condition  of  personal  cleanliness  of  the  men  will  be  made,  as  well  as  careful  observation 
for  the  detection  of  venereal  diseases. 

(d)  Cases  of  the  latter  %\ill  be  promptly  subjected  to  treatment,  but  not  necessarily 
excused  from  duty  unless,  in  the  opmion  of  the  surgeon,  deemed  desirable.  They 
will  be  made  of  record  in  the  medical  reports  in  any  case.  A  list  of  those  diseased 
but  doing  duty  will  be  kept  both  by  the  company  or  detachment  commander  and  the 
surgeon,  and  the  infected  men  will  be  required  to  report  to  a  medical  officer  for  sys- 
tematic treatment  until  cured.  WTiile  in  the  infectious  stages  the  men  should  be 
confined  strictly  to  the  limits  of  the  post.  When  a  venereal  case,  whether  or  not  on 
sick  report,  is  transferred  to  another  command,  the  sm-geon  will  send  a  transfer  slip, 
giving  a  brief  historj-  of  the  case. 

199.  A  record  will  be  made  on  Form  77  in  the  case  of  every  soldier 
reportmg  for  treatment  mider  the  provisions  of  section  (a)  of  the  pre- 
ceding paragraph.  This  record  will  afterwards  be  authenticated  by 
the  initials  of  a  medical  officer.  It  will  be  considered  confidential 
and  wiU  not  be  preserved  longer  than  three  months. 

200.  Sy2)Mlis. — To  secure  contmuous  observation  and  proper 
treatment  of  every  soldier  and  of  every  general  prisoner  suffering 
from  this  disease,  a  register  of  his  case  will  be  prepared  on  Form  78, 
and  he  will  be  examined  from  time  to  time  until  cured  or  discharged. 


7G  MANUAL    FOR    THE    MEDICAL    DEPARTMENT. 

(a)  Wlieii  a  soldier  having  this  disease,  whether  currently  on  the 
register  of  patients,  Form  52,  or  not,  is  transferred  with  his  command 
or  otherwise  to  a  new  station,  for  duty  or  treatment,  his  original 
syphilitic  register  will  be  sent  to  the  surgeon  of  the  soldier's  new 
station  or  command.  (See  also  par.  198d).  The  original  syphilitic 
register  so  transferred  will  be  continued  at  the  new  station  con- 
formably to  the  instructions  printed  on  the  form. 

REPORTS    OF    EPIDEMIC    DISEASES. 

201 .  On  the  appearance  of  the  fu^t  recognized  case  of  typhoid  fever, 
paratyphoid  fever,  smallpox,  measles,  diphtheria,  cerebro-spinal 
meningitis,  or  other  epidemic  disease  at  or  near  a  military  post  or 
station,  the  senior  medical  officer  will  at  once  report  the  same,  and 
the  nature  and  extent  of  the  epidemic,  so  far  as  it  has  developed,  to 
the  commanding  officer,  sending  at  the  same  time  a  duplicate  report 
direct  to  the  department  surgeon  and  a  triplicate  direct  to  the  Sm-geon 
General.  Should  the  outbreak  occur  in  a  command  en  route  to  a 
new  station,  whether  by  marching,  by  rail,  or  by  water,  the  medical 
officer  will  make  a  similar  report  in  triplicate,  and  will  in  addition 
send  a  quadruplicate  direct  to  the  surgeon  of  the  new  station. 

202.  Tlie  continuance  of  the  epidemic,  its  progress  and  decline,  its 
origin  or  importation,  the  measures  taken  for  its  suppression,  the- 
number  of  cases,  the  number  of  deaths  and  recoveries,  and  such  other 
information  in  relation  thereto  as  may  be  important  or  interesting 
will  be  noted  from  month  to  month  in  the  sanitary  reports.  Form  50. 

203.  The  senior  medical  officer  of  a  military  post  will  promptly 
notify  the  local  board  of  health,  if  there  is  one,  of  all  cases  of  infectious 
disease  occurring  at  the  post  of  which  such  board  would  take  cogni- 
zance were  the  same  to  occur  in  the  community  subject  to  its  super- 
vision. 


ARTICLE  IT.— HOSPITALS  AND  MEDICAL  ATTEND- 
ANCE. 


204.  Except  under  field  conditions,  or  in  the  occupation  of  terri- 
tory outside  of  the  continental  limits  of  the  United  States,  but  three 
classes  of  Army  hospitals  are  maintained,  viz,  post  hospitals,  depart- 
ment hospitals,  and  general  hospitals. 

The  several  kinds  of  hospitals  authorized  for  troops  in  the  field  are 
enumerated  and  discussed  in  Part  II  of  this  Manual. 

SERVICE    OF    HOSPITALS,   GENERAL. 

(See  Army  Regulations.) 

205.  Under  this  caption  only  such  regulations  are  given  as  have 
general  application  to  all  hospitals  of  the  peace  establishment,  while 
those  having  special  application  to  post,  department,  and  general 
hospitals,  respectively,  appear  under  succeeding  headings. 

SICK    CALL. 

206.  Sick  call  is  not  a  suitable  time  for  the  careful  examination  and 
treatment  of  the  sick.  Its  purpose  is  to  determine  as  expeditiously 
as  possible  the  number  of  men  unfit  for  duty,  so  that  the  morning 
report  of  sick  may  be  promptly  sent  to  the  commanding  officer. 

207.  Wlien  an  officer  or  enlisted  man  is  excused  from  duty  on 
account  of  disease  resulting  from  the  intemperate  use  of  drugs  or 
alcoholic  liquors,  or  because  of  incapacity  resulting  from  venereal 
disease  not  contracted  in  the  line  of  duty,  that  fact  will  be  indicated 
by  the  medical  officer  marking  the  daily  sick  report  (Form  339, 
A.  G.  O.),  "No;  G.  O.  31,1912,"  in  the  column  headed  "In  line  of 
duty."  The  misconduct  herein  is  such  as  arises  during  the  soldier's 
service  and  does  not  include  misconduct  occurring  prior  to  entry  into 
the  service  or  prior  to  the  passage  of  the  act  of  August  24,  1912. 
(See  Appendix:  Venereal  Diseases.) 

208.  Tlie  surgeon  will  make  such  memoranda  at  sick  call  as  he 
may  deem  necessary  for  his  further  action  in  preparing  his  morning 
report  of  sick. 

(a)  Register  cards  will  also  be  started  at  once  for  aU  cases  to  go 
on  the  register  under  paragraph  428. 

77 


78  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

ADMISSION   AND   DISTRIBUTION   OF   PATIENTS. 

209.  Upon  his  admission  to  hospital  a  patient  will  first  be  taken  to 
the  receiving  ward,  if  there  is  one,  or  to  the  office,  where  his  register 
card  will  be  filled  in  so  far  as  the  data  are  available  at  the  time,  the 
treatment  ward  to  which  he  is  assigned  being  noted  on  the  back 
thereof.  There  will  also  be  entered  on  a  clinical  record  brief  (Form 
55a)  the  patient's  name,  rank,  organization,  etc.,  the  diagnosis  on 
the  transfer  card,  if  one  has  been  received,  and  the  designation  of  the 
ward  to  which  he  is  assigned.  This  form  will  accompan}^  the  patient 
to  the  ward  and  will  be  the  wardmaster's  authority  for  his  admission 
thereto.  The  diagnosis  of  the  case  will  be  furnished  to  the  office  by 
the  ward  surgeon  with  the  next  morning  report  of  the  ward  (par.  211). 

210.  Patients  will  not  be  transferred  from  one  ward  to  another 
without  the  authority  of  the  commanding  officer  of  the  hospital. 
The  transfer  of  a  case  from  one  ward  to  another  will  be  reported  to 
the  office  with  the  next  ward  morning  report  of  the  ward  from  which 
the  case  is  transferred.  All  that  is  necessary  is  to  report  the  patient's 
name,  rank,  company,  and  regiment  or  corps,  and  state  the  fact  that 
he  has  gone  from  one  ward  to  the  other,  designating  them.  No 
special  form  is  provided.  A  memorandum  will  suffice,  or  a  register 
card,  Form  52,  may  be  used.  Upon  the  receipt  at  the  office  of  the 
notice  of  transfer  a  memorandum  thereof  will  be  made  on  the  back 
of-  the  register  card,  which  will  thus  always  show  what  ward  the 
patient  is  in. 

211.  To  facilitate  and  assure  the  prompt  and  proper  distribution 
of  patients,  each  ward  surgeon  will  every  morning,  immediately  after 
his  morning  round  of  the  ward,  forward  to  the  office  a  morning  report 
of  the  ward  on  Form  72,  which  will  be  accompanied  by  diagnosis  slips 
for  new  admissions,  by  all  change  of  diagnosis  cards,  by  the  clinical 
records  of  all  cases  completed  in  the  ward  or  which  depart  from  the 
ward  otherwise  than  by  transfer  to  another  ward,  and  by  the  notices 
of  cases  transferred  to  other  wards  since  the  preceding  report.  The 
ward  morning  reports,  being  of  no  permanent  value,  maybe  destroyed 
after  they  have  served  their  purpose. 

CHANGE    OF    DIAGNOSIS    CARDS. 

212.  Wlien  the  diagnosis  of  a  case  under  treatment  in  ward  is 
changed,  or  complications  or  sequela>  develop,  report  thereof  should 
be  made  to  the  office  upon  a  register  card,  marking  it  in  red  ink 
"Change  of  diagnosis,"  and  forwarding  it  with  the  next  ward  morning 
report. 

(a)  When  the  diagnosis  of  a  case  under  treatment  in  quarters  is 
changed,  or  complications  or  sequela3  develop,  a  report  thereof  upon 
a  card  similarly  marked  should  be  forwarded  to  the  office  by  the 
attending  surgeon  within  24  hours. 


HOSPITALS   AND   MEDICAL    ATTENDANCE.  79 

213.  The  change  of  diagnosis  card  should  be  signed  or  initialed  by 
the  ward  surgeon  or  the  attending  surgeon  and  be  filed  with  the 
register  card  of  the  case  to  which  it  relates  as  the  voucher  for  the 
correction  of  the  register  card  conformably  to  paragraph  436. 

TRANSFER   OF    PATIENTS. 

214.  Patients  may  be  transferred,  under  proper  military  authority, 
from  one  hospital  or  medical  control  to  another,  for  observation  or  to 
obtain  better  treatment  or  hospital  accommodations. 

215.  In  every  case  of  transfer  the  surgeon  of  the  hospital  or  command 
from  which  the  patient  goes  will  make  out  a  transfer  card  on  Form  52 ; 
it  should  he  headed  "Transfer  card,"'  be  a  duplicate  of  the  patient's 
register  card,  including  the  information  thereon  in  space  18  (except 
that  it  should  also  contain  such  details  of  the  case  as  will  probably 
be  of  value  to  the  receiving  officer) ,  and  be  signed  by  the  transferring 
officer.  The  transfer  card  of  a  patient  sent  to  a  general  hospital  for 
observation  and  treatment  should,  in  time  of  peace,  and  when  prac- 
ticable in  time  of  war,  be  accompanied  by  a  copy  of  the  clinical  record 
of  his  case. 

(a)  When  more  space  is  required  to  perfect  entries  on  the  transfer 
card,  an  extension  slip  should  be  used  in  the  manner  pointed  out  in 
paragraph  434a. 

216.  The  transfer  card  will  in  ordinary  transfers  be  sent  to  the 
surgeon  of  the  receiving  hospital  or  command;  but  in  transfers  to  the 
Government  Hospital  for  the  Insane  it  will  be  sent  to  the  Surgeon 
General,  with  a  copy  attached  of  the  medical  certificate  required  by 
the  Department  of  the  Interior.  (See  Army  Regulations:  Govern- 
ment Hospital  for  the  Insane.) 

(a)  If  the  patient  is  to  be  unattended  en  route,  the  transfer  card 
may  be  transmitted  in  his  care,  or  by  mail,  at  the  discretion  of  the 
transferring  officer.  If  the  patient  is  to  be  under  the  charge  en 
route  of  an  officer  or  soldier,  the  card  will  be  transmitted  through 
the  officer  or  soldier  so  in  charge. 

(h)  When  many  patients  are  transferred  at  one  time  under  the 
charge  of  an  officer  or  soldier  en  route,  the  transfer  cards  will  be 
verified  personally  by  such  officer  or  soldier,  or  when  the  number 
transferred  is  too  great  for  personal  verification,  by  his  subordinates 
or  assistants.     (See  also  pars.  583  and  584.) 

217.  The  surgeon  of  the  receiving  hospital  or  command  will  note 
on  the  back  of  the  transfer  card  the  fact  and  date  of  the  arrival  of 
the  patient  at  his  station  and  forward  the  card  with  his  next  report 
of  sick  and  wounded.  The  surgeon  of  the  receiving  hospital  or  com- 
mand will  make  a  register  card,  Form  52,  of  the  case  (see  par.  428), 
noting  thereon  such  of  the  information  conveyed  by  the  transfer  card 
as  is  pertinent. 


80  MANUAL   FOE    THE    MEDICAL    DEPARTMENT. 

(a)  Should  the  patient  named  on  a  transfer  card  transmitted  by 
mail  not  arrive  at  the  receiving  hospital  within  a  reasonable  time,  the 
surgeon  thereof  will  note  on  the  back  of  the  card  the  fact  that  the 
patient  did  not  arrive,  and  forward  the  card  with  his  next  report  of 
sick  and  wounded. 

DEATHS. 

218.  Whenever  the  death  of  an  officer,  enlisted  man,  or  civilian 
employee  occurs  at  a  military  post  or  station,  or  with  a  command  in 
the  field,  the  senior  medical  officer  present  will  immediately  report  in 
writing  to  the  commanding  officer  of  such  military  post  or  station  or 
command  in  the  field  the  name  of  the  deceased,  with  rank  and  organi- 
zation if  he  was  an  officer  or  enlisted  man,  or  the  department  and 
capacity  in  which  he  was  employed  if  he  was  a  civilian  employee,  the 
date,  time,  place,  and  cause  of  death,  and  the  present  location  of  the 
body. 

219.  The  death  of  a  medical  officer,  dental  surgeon,  acting  dental 
surgeon,  contract  surgeon,  or  sergeant  first  class.  Hospital  Corps,  will 
be  immediately  reported  by  the  attending  surgeon  or  nearest  medical 
officer  direct  to  the  department  surgeon.  A  duplicate  of  the  report 
will  be  sent  direct  to  the  Surgeon  General. 

Note. — Other  reports  and  procedures  regarding  deceased  officers  and  deceased  sol- 
diers are  prescribed  in  Army  Regulations. 

REFUSAL    OF    SURGICAL   TREATMENT. 

220.  An  enlisted  man  who  refuses  to  submit  to  a  surgical  operation 
that  the  attending  surgeon  certifies  is  without  appreciable  risk  to  the 
life  of  the  soldier  and  is  necessary  for  the  removal  of  a  disability  that 
prevents  the  full  performance  of  any  and  all  military  duties  that 
properly  can  be  required  of  the  soldier  will,  for  such  refusal,  be  brought 
to  trial  by  general  court-martial  under  charges  preferred  under  the 
sixty-second  article  of  war;  but  if  in  any  such  case  the  attending  sur- 
geon is  in  doubt  as  to  whether  the  proposed  operation  involves  appre- 
ciable risk  to  life  the  soldier  will  not  be  brought  to  trial,  but  will  be 
discharged  on  certificate  of  disability. 

{a)  When  an  enlisted  man  is  to  be  brought  to  trial  for  the  offense 
named  in  this  paragraph  the  surgeon  will  furnish  the  required  cer- 
tificate. 

EFFECTS    OF    PATIENTS. 

221.  The  commanding  officer  of  the  hospital  is  responsible  that 
due  care  is  observed  in  safeguarding  the  money,  valuables,  clothing, 
and  other  effects  of  patients  admitted  to  hospital.  Money  or  other 
valua})los  will  be  receipted  for  by  the  commanding  officer  or  by  an 
officer  designated  by  him,  and,  when  practicable,  deposited  in  the 
hospital  safe  or  in  a  bank.  Enlisted  men  are  forbidden  to  retain 
money  or  other  valuables  received  from  patients  for  safe-keeping. 


HOSPITALS   AND    MEDICAL    ATTENDANCE.  81 

(a)  In  the  presence  of  the  patient,  or  of  another  enhsted  man  in 
case  the  patient  is  unconscious  or  msane,  his  clothmg  and  other 
effects  will  be  tagged  (Form  76)  for  identification  and  Hsted  in  duph- 
cate  on  the  patient's  property  card  (Form  75).  This  list  with  the 
effects  will  then  be  sent  to  the  individual  in  charge  of  the  storeroom 
for  patients'  effects.  He  will  retain  the  original  list  and  turn  the 
duplicate  in  to  the  record  ofRce,  or  give  it  to  the  patient  as  the  regu- 
lations of  the  hospital  may  provide.  In  the  smaller  hospitals  the 
duty  of  caring  for  patients'  effects  as  outlined  above  will  devolve 
upon  the  wardmaster;  in  general  or  other  large  hospitals  it  wiU  be 
performed  as  directed  in  paragraph  303. 

222.  The  soiled  clothing  of  patients  will  be  washed,  before  it  is 
put  away,  as  a  part  of  the  hospital  laundry  (par.  267).  When  there 
is  reason  to  suspect  that  the  clothing  is  infected  such  measures  of 
disinfection  as  may  be  necessary  to  protect  the  command  will  be 
taken  and  accounts  for  the  expenses  incident  thereto  will  be  for- 
warded on  Form  330,  W.  D.,  for  settlement,  with  an  explanation  of 
the  circumstances. 

223.  When  the  patient  goes  to  duty,  is  furloughed,  or  is  discharged 
from  the  service  the  surgeon  wiU  restore  his  effects  and  take  his 
receipt. 

224.  When  the  patient  is  transferred  from  a  hospital  his  effects 
wUl,  if  he  is  able  to  take  care  of  them,  be  restored  to  him.  Wlien 
he  is  unable  to  take  care  of  them,  they  wiU  be  intrusted  to  the  rank- 
ing officer  or  soldier  in  whose  charge  the  patient  is  put.  A  list 
of  the  effects  will  be  furnished  to  such  ranking  officer  or  soldier, 
who  will  give  his  receipt  therefor  to  the  transferring  officer.  On 
arrival  at  destination  said  custodian  of  the  effects  in  transit  wiU 
turn  them  over,  with  the  list,  to  the  commanding  officer  of  the 
receivmg  hospital,  and  take  his  receipt  therefor. 

225.  In  the  event  of  the  death  or  desertion  of  enlisted  or  commis- 
sioned patients  or  of  military  prisoners  in.  hospital,  their  effects  will 
be  disposed  of  in  accordance  with  the  provisions  of  Army  Kegulations. 

226.  The  effects  of  deceased  civilian  patients,  if  claimed  withm  a 
reasonable  time,  will  be  delivered  to  their  legal  representatives.  If 
not  claimed  within  a  reasonable  time,  they  will  be  sold  by  the  hospital 
council  and  the  proceeds  taken  up  and  accounted  for  with  the  hos- 
pital fund.  Should  claim  thereafter  be  made  within  three  years  for 
the  proceeds,  the  same  may  on  the  authority  of  the  Surgeon  General 
be  paid  over  to  the  legal  representatives  of  the  deceased.  A  similar 
procedure  will  be  followed  in  the  case  of  effects  abandoned  by  civHian 
patients  upon  their  departure  from  the  hospital.  Watches,  trinkets, 
personal  papers,  and  keepsakes  of  civilians  wiU  not  be  disposed  of  as 
long  as  there  is  a  fair  prospect  of  fuiding  their  rightful  owners. 

93440°— 17 6 


82  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

PUBLIC    PROPERTY    IN    THE    POSSESSION    OF    PATIENTS. 

227.  Public  property  brought  into  the  hospital  by  the  patient  will 
also  be  listed  m  duplicate  on  his  property  card,  Form  75.  If  his 
disabihty  is  so  slight  as  to  require  treatment  for  a  few  days  only, 
the  property  will  be  kept  intact,  tagged,  and  restored  to  him  upon 
his  return  to  duty,  taking  his  receipt  therefor;  otherwise,  it  will, 
if  practicable,  be  turned  over  at  once  to  his  commanding  officer, 
whose  receipt  should  be  obtained.  If  such  transfer  is  not  practicable, 
the  following  action  will  be  had:  (1)  The  medical  officer  wiU  take 
up  on  his  return  the  medical  property  in  the  soldier's  possession  and 
forward  his  receipt  therefor  to  the  accountable  officer;  (2)  if  the 
medical  officer  is  accountable  for  quartermaster  or  ordnance  prop- 
erty, he  will  take  up  on  his  quartermaster  or  ordnance  papers  all 
property  belonging  to  those  departments  brought  ux  by  the  patient; 
otherwise  he  will  transfer  such  property  to  the  nearest  representa- 
tives of  those  departments,  whose  receipts  therefor  should  be  obtained; 
(3)  the  patient's  commanding  officer  wiU  be  immediately  notified 
be  mail  of  the  action  taken  under  (1)  and  (2).  (See  also  pars.  640  and 
649.) 

228.  Hospital  clothing  will  be  worn  by  patients  only  during  their 
stay  in  hospital.  Each  article  will  be  marked  as  hospital  property. 
When  very  sick  soldiers  are  transferred  from  one  hospital  to  another 
the  hospital  clothing  necessary  for  their  comfort  may  be  sent  with 
them,  properly  invoiced,  and  accompanied  by  a  check  list,  giving  the 
names  of  the  men  in  whose  possession  it  is.  Under  the  provisions  of 
this  paragraph,  crutches  and  similar  articles  may,  if  necessary,  be 
similarly  transferred  with  the  patient  from  one  post  or  hospital  to 
another.     (See  pars.  496  et  seq.) 

229.  Upon  the  discharge  from  service  of  men  permanently  disa- 
bled, they  may  ret  am  the  surgical  appliances  then  in  their  use  which 
are  necessary  for  their  comfort  and  safety,  and  the  accoimtable  officer 
will  drop  the  same  from  his  next  return  of  medical  property,  submit- 
ting a  certificate  explaming  the  circumstances  as  a  voucher  for  so 
doing, 

DESTRUCTION  OF  INFECTED  PROPERTY. 

230.  Infected  clothing  and  other  articles  which  can  be  immersed  in 
boihng  water,  or  otherwise  dismfected,  without  material  mjury, 
should  be  disinfected  and  not  burned.  Articles  destroyed  to  prevent 
contagion  must  be  accounted  for  by  the  affidavit  of  the  officer  respon- 
sible, set  ting  forth  fully  the  circumstances  necessitating  such  destruc- 
tion.    (See  par.  502.) 


HOSPITALS   AND    MEDICAL   ATTENDANCE.  83 

MESS    MANAGEMENT. 

231.  The  food  supplies  for  the  hospital  personnel  and  patients 
consist  of  rations  issued  bj  the  Quartermaster  Corps,  of  articles  pur- 
chased with  or  derived  from  the  hospital  fund  (see  pars.  248  to  262), 
and  of  products  of  the  hospital  garden. 

232.  When,  under  the  conditions  usually  prevailing  at  any  post, 
camp,  or  station,  or  with  any  command,  the  commutation  of  the 
rations  of  the  sick  m  hospital  and  the  members  of  the  Nurse  Corps 
on  duty  therein  would  not  be  sufficient  for  tlie  purchase  of  suitable 
food,  the  surgeon  should  make  application  through  military  channels 
to  The  Adjutant  General  of  the  Army  for  the  issue  of  rations  in  kind. 

233.  The  provisions  of  Army  Regulations  relating  to  company 
messes  will  be  applied  as  far  as  they  are  adaptable  to  hospital  messes. 

234.  The  conmianding  officer  of  the  hospital  will  maintaua  con- 
stant watchfulness  over  the  messes.  He  should  regard  himself  as 
trustee  for  the  men  and  nurses  to  whom,  collectively,  the  rations  and 
hospital  fund  belong,  and  should  exercise  every  precaution  to  prevent 
peculation  and  abuses  at  their  cost.  On  account  of  the  large  cash 
transactions  incident  to  the  conduct  of  hospital  messes,  and  the 
opportunities  afforded  by  them  for  irregular  and  dishonest  practices, 
he  should  take  the  most  painstaking  care  when  detailing  enlisted 
men  to  mess  management  to  choose  only  those  of  known  probity 
and  good  habits.  For  the  same  reason  he  should  see  that  the 
creditors  with  whom  the  mess  deals  are  of  good  repute  and  as  few 
as  possible,  and  require  their  bills  to  be  settled  promptly  at  the  end 
of  every  month.  In  large  hospitals  he  may  put  the  messes  under 
the  supervision  of  a  junior  officer;  but  even  m  that  case  he  should 
by  frequent  inspections  see  that  waste  or  wrongful  diversion  of 
suppUes  or  funds  is  not  permitted,  and  that  the  messes  are  so  managed 
that  neither  patients  nor  personnel  shall  have  just  grounds  of  com- 
plaint of  the  character  or  quantity  of  their  food. 

235.  Each  ward  surgeon  will,  every  morning,  immediately  after 
the  first  round  of  his  ward,  fill  out  a  diet  card.  Form  73,  covering  the 
diet  requirements  of  his  patients  for  the  ensuing  24  hours.  Bills  of 
fare  for  regular,  hght,  and  liquid  diets  should  be  made  out  and  posted 
in  the  wards  and  kitchens.  Additional  articles  not  included  in  these 
diets  are  to  be  ordered  for  special  cases  only. 

(a)  The  diet  cards  from  the  wards  wiU  be  sent  promptly  to  the 
hospital  office,  where  the  necessary  card  or  cards  will  be  made  out 
covering  the  meals  of  the  hospital  personnel.  All  the  cards  will 
thereupon  be  turned  over  to  the  noncommissioned  officer  in  charge 
of  the  mess  in  season  for  his  action  toward  the  preparation  oi  the  day's 


84  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

diimer.  Additional  cards  for  newly  admitted  patients  or  newly 
arrived  personnel  will  be  made  out  promptly  when  necessary  and  sent 
to  the  noncommissioned  officer  in  charge  of  the  mess  without  delay. 
The  diet  cards  may  be  destroyed  after  they  have  served  their  pur- 
pose; usually  they  will  have  no  value  beyond  the  day  of  their  date 
and  the  following  day. 

236.  Each  hospital  mess  will  be  placed  under  the  immediate 
charge  of  a  competent  noncommissioned  officer. 

(a)  It  will  be  his  duty  to  receive  and  care  for  all  articles  of  food 
for  the  mess,  and  he  will  be  held  responsible  for  their  proper  dis- 
position. He  should  be  provided  with  suitable  apparatus  for  pre- 
serving perishable  foods  and  a  suitable  storeroom  for  the  balance, 
and  should  secure  them  by  proper  locks.  He  will  issue  daily  from 
the  stores  to  the  kitchen  the  articles  required  by  the  diet  cards  and 
will  see  that  the  food  is  cooked  as  indicated  thereon.  He  will  keep 
such  record  of  his  receipts  and  issues  as  the  surgeon  may  prescribe 
according  to  the  needs  of  the  particular  hospital,  no  special  form  there- 
for being  provided.  He  will  be  responsible  for  the  condition  and  cleanli- 
ness of  the  kitchen  and  cooking  utensils,  and  the  kitchen  force  will 
respect  his  orders  accordingly.  He  will  be  responsible  also  for  the 
cleanliness  and  discipline  of  the  messroom,  the  service  of  the  meals 
therein,  and  the  distribution  of  food  to  wardmasters  for  patients 
unable  to  leave  the  wards ;  and  for  the  cleanliness  of  the  napery  and 
table  utensils  used  in  serving  the  food.  He  will  see  that  table  clothing 
and  utensils  used  for  patients  suffering  from  infectious  disease  are 
properly  disinfected  before  being  returned  to  the  storerooms  for 
further  use.  He  will  be  provided  with  a  sufficient  number  of  assistants 
to  assure  the  prompt  and  efficient  performance  of  these  duties. 

237.  A  mess  account  on  Form  74  will  be  kept  by  the  noncommis- 
sioned officer  in  charge.  It  should  be  filed  at  the  end  of  every  month 
with  the  retained  hospital  fund  papers  for  that  month.  Inordinate 
gains  in  the  plus  column  would  indicate  undue  economy  in  the  diet, 
while,  on  the  other  hand,  continual  losses  in  the  minus  column  woukl 
signify  mismanagement  of  the  hospital  fund  or  improper  care  of  the 
food  supplies.  The  commanding  officer  of  the  hospital  should  inspect 
this  record  at  frequent  intervals,  with  a  view  to  keeping  constantly 
informed  in  this  respect. 

(a)  When  there  is  more  than  one  mess,  a  consolidated  mess  account 
on  the  same  form  for  the  entire  hospital  should  be  kept  in  the  office, 
the  noncommissioned  officers  in  charge  of  the  several  messes  being 
required  to  report  daily  the  data  therefor. 

238 .  For  methods  of  preparing  food  for  both  sick  and  well,  reference 
should  be  had  to  the  authorized  Handbook  for  the  Hospital  Corps 
and  the  Manual  for  Army  Cooks. 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  '85 

239.  When  the  number  of  sick  requiring  special  diet  is  large,  the 
commanding  officer  of  the  hospital  may  establish  one  or  more  diet 
kitchens  for  the  preparation  of  their  food,  under  the  immediate 
dii-ection  of  such  skilled  dietists  as  are  available.  Competent  dietists 
belonging  to  the  Nurse  Corps  may  be  assigned  to  this  duty.  Rules 
for  the  management  of  diet  kitchens  will  be  prescribed  by  the  com- 
manding officer  of  the  hospital  according  to  tlio  particular  needs  of 
each  case. 

DISPENSARY  MANAGEMENT. 

240.  All  prescriptions  will  be  written  in  the  metric  system.  They 
will  be  placed  on  file  in  three  separate  files,  as  follows:  (1)  Pre- 
scriptions for  alcohol  or  alcoholic  liquors  and  for  medicines  con- 
taining opium  or  any  of  the  salts,  derivatives,  or  preparations  of 
opium  or  coca  leaves.  (2)  Prescriptions  for  civilians  which  do  not 
include  articles  of  the  preceding  class.  (3)  All  other  prescriptions. 
Prescription  files  will  be  subject  to  inspection  by  inspectors  and  post 
commanders  at  all  times. 

(a)  In  connection  with  file  (1)  a  record  will  be  kept  of  the  dis- 
pensary receipts  and  expenditures  of  each  article  specified  therein. 
Unless  otherwise  authorized  by  the  Surgeon  General,  this  record 
will  be  made  on  blanks  of  Fonn  17a,  adapted  as  may  be  necessary 
to  the  purpose.  A  separate  slip  will  be  kept  for  each  form  in  which 
the  liquor  or  drug  is  supplied,  as  "Morphinse  sulphas,  powder"  or 
"Morphine  sulphas,  10-mgm.  hypo,  tablets."  The  date  of  receipt 
thereof  from  the  storeroom  will  be  noted  in  the  left-hand  column 
and  the  amount,  in  the  proper  metric  unit,  in  the  debit  column. 
The  expenditures  will  be  noted  by  entering  the  prescription  number 
in  the  left-hand  column  and  the  amount  expended  in  compounding 
the  prescription  in  the  credit  column.  At  least  once  a  month  the 
slips  will  be  balanced  and  the  quantities  remaining  on  hand  will  be 
verified  by  a  medical  officer  and  the  facts  noted  over  his  signature. 

241.  Active  poisons,  alcohol,  alcohoHc  liquors,  and  all  habit- 
forming  drugs  will  be  kept  under  lock  and  key  in  a  separate  closet. 

242.  Civifian  employees  of  the  Army  stationed  at  military  posts 
may  purchase  medical  suppHes  when  prescribed  by  a  medical  officer. 

(a)  Medicine  charges  for  employees  not  in  hospital  will  be  as 
follows:  In  ordinary  cases,  25  cents  for  each  prescription;  in  the  case 
of  rare  and  expensive  medicines,  dressings,  appliances,  etc.,  at  such 
increased  rate,  to  be  determined  by  the  surgeon,  as  will  reimburse  the 
United  States  their  cost. 

(b)  Medicine  charges  for  civilian  employees  in  hospital  are  fixed 
at  25  cents  a  day  in  Army  Regulations. 

243.  The  responsible  officer  will  at  the  end  of  each  month,  without 
delay,  deposi'^  the  net  amount  collected  during  the  month  with  the 


86  MANUAL    FOR   THE    MEDICAL   DEPARTMENT. 

nearest  United  States  depositary,  to  the  credit  of  the  Treasurer  ot 
the  United  States  under  the  special  fund  "Replacing  medical  sup- 
plies" for  the  proper  two-year  period  or  periods.  (See  par.  510.) 
The  net  amount  collected  is  the  gross  amount  collected,  less  the 
expenses  of  deposit,  if  any,  such  as  the  cost  of  a  money  order  to 
make  remittance  to  a  depositary  at  a  distance.  Immediately  upon 
making  a  deposit  or  a  remittance  to  a  depositary  the  responsible 
officer  will  notify  the  Surgeon  General  by  letter  direct  that  lie  has  done 
so,  stating  expressly  the  source  from  which  the  moneys  arose,  to  wit, 
"Proceeds  of  sales  of  medicines  to  civilians,''  and  specifying  not  only 
the  period  during  which  the  proceeds  were  collected,  but  also  the 
inclusive  dates  during  which  the  sales  were  made,  i.  e.,  during  which 
the  medicines  were  furnished.  If  the  collections  during  any  month 
cover  medicmes  furnished  during  parts  of  two  fiscal  years  (as,  for 
example,  collections  during  July  for  medicines  furnished  during  June 
and  July) ,  the  notification  will  show  clearly  how  much  of  the  amount 
deposited  was  for  medicines  furnished  in  each  of  the  two  years. 

(a)  The  proceeds  of  the  sales  will  be  accounted  for  in  the  manner 
required  by  paragraph  509a  of  this  Manual. 

244.  At  isolated  posts  where  issues  to  civilians  become  necessary 
to  save  life  or  prevent  extreme  suffering,  medical  officers  will  make 
such  issues,  and  at  the  end  of  each  month  will  peport  the  circum- 
stances to  the  Surgeon  General,  or  in  the  Philippine  Department  to 
the  department  surgeon.  Unless  the  patient  is  destitute,  charges 
will  be  made  and  the  proceeds  disposed  of  and  accounted  for  as  in 
the  case  of  employees. 

HOSPITAL    BUILDINGS. 

245.  When  an  allotment  of  funds  for  the  repair  of  a  hospital  or 
quarters  of  a  sergeant  first  class  has  been  made,  the  surgeon  will  be 
notified  of  the  action  by  letter  from  the  Surgeon  General,  through  the 
department  surgeon,  the  receipt  of  which  will  be  acknowledged  by 
return  mail.  Estimates  and  other  papers  referring  to  a  hospital  must 
be  prepared  separately  from  those  for  quarters  of  a  sergeant  first  class. 
On  the  last  day  of  each  month,  until  the  work  is  completed  and  so 
reported,  the  surgeon  will  advise  the  Surgeon  General,  through  the 
department  surgeon,  of  the  progress  effected,  or,  if  none,  the  cause  of 
the  delay  so  far  as  he  can  ascertam  it. 

246.  The  painting  of  new  hospital  floors  is  prohibited.  They  may 
be  finished  in  oil  and  paraffin,  or  oil,  wax,  turpentme,  etc.,  to  which 
coloring  matter  may  be  added  if  decuned  necessary.  Floors  of  veran- 
das and  porches  should  be  protected  by  paint. 


HOSPITALS   AND    MEDICAL    ATTENDANCE.  87 

HOSPITAL    SAFE. 

247.  Knowledge  of  the  conibinatiou  of  the  lock  of  the  liospital  safe 
will  bo  guarded  with  the  utmost  care.  Any  change  in  the  combi- 
nation will  be  immediately  reported  by  confidential  letter  direct  to 
the  Surgeon  General,  or  in  the  Philippine  Department  direct  to  the 
department  surgeon,  identifying  the  safe  by  its  make  and  number. 

HOSPITAL    FUND. 

248.  Tlie  hospital  fund  is  derived — 

(1)  From  commutation  of  rations  of  patients  and  members  of  the 
Nurse  Corps. 

(2)  From  savings  on  rations  of  the  Hospital  Corps. 

(3)  From  dividends  from  post  exchange. 

(4)  From  dividends  from  post  garden. 

(5)  From  money  received  for  the  subsistence  of  officers  and  civil- 
ians treated  in  hospital. 

(6)  From  sales  of  property  purchased  with  hospital  fund  (par.  259), 
or  products  pertaining  to  the  hospital  fund  (vegetables  from  hospital 
garden,  etc.). 

249.  In  addition  to  the  post  exchange  dividends  due  the  hospital 
detachment,  the  exchange  council,  with  the  approval  of  the  command- 
ing officer,  shall  determine  the  amount,  if  any,  to  be  turned  over  to 
the  surgeon  for  the  sick  in  hospital.  (See  Appendix:  Post  Exchange 
Regulations.) 

250.  Seamen  in  the  Army  Transport  Service  who  have  signed  ship- 
ping articles  entitling  them  to  medical  treatment  at  the  cost  of  the 
United  States,  and  have  been  placed  in  hospital  by  proper  authority, 
are  entitled  to  subsistence,  medicines,  and  medical  attendance  while 
in  hospital.  The  cost  of  subsistence  will  bo  reimbursed  to  the  hos- 
pital fund  out  of  the  medical  and  hospital  appropriation. 

{a)  Vouchers  adapted  to  the  facts  in  each  case  and  stated  in  favor 
of  the  hospital  fund  as  follows,  on  Form  330,  W.  D.,  will  be  forwarded 
from  time  to  time  for  the  action  of  the  department  surgeon: 

For  subsistence  of  John  Doe,  a  civilian  employee  of  the  U.  S.  A.  T.  Sherman,  while 

under  treatment  in Hospital,  — ,  January  1  to  11,  1913,  on  the  footing  of 

an  enlisted  man,  11  days,  at  40  cents  a  day. 

Above-named  man  had  signed  the  usual  shipping  articles  for  a  voyage,  entitling  him 
to  medical  care  when  sick,  and  his  term  of  service  had  not  expired  prior  to  the  last 
date  for  which  subsistence  is  charged  in  this  account. 

Payment  by  authority  of  Secretary  of  War,  June  1,  1912  (1906208,  A.  G.  0.-1419G4, 
S.  G.  O.). 

(b)  The  certificate  to  the  correctness  of  the  bill  will  be  signed  in  the 
name  of  the  hospital  fund  (designating  the  hospital  to  which  it  per- 


88  MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 

tains)  by  the  custodian  thereof,  who  will  sign  his  own  name,  with  rank 
and  designation  as  custodian. 

The  certificate  that  the  articles  have  been  received,  etc.,  will  be 
signed  by  the  transport  quartermaster,  and  the  statement  will  be 
added  that  the  "above-named  patient  was  sent  to  the Hos- 
pital by  proper  authority, " 

251.  The  hospital  fund  is  regarded  as  a  company  fund,  and  is 
applicable  generally  to  similar  purposes,  in  the  interest  of  enlisted 
men  of  the  Hospital  Corps,  and  of  the  sick  under  treatment  and  mem- 
"bers  of  the  Nurse  Corps  on  duty  in  military  hospitals. 

252.  The  officer  commanding  the  hospital  will  ordinarily  be  the 
custodian  of  the  hospital  fund ;  but  when  specially  authorized  by  the 
vSurgeon  General  he  may  turn  it  over  to  a  commissioned  assistant. 

253.  The  custodian  will  bo  held  to  a  personal  accountabihty  for 
the  loss  of  any  portion  of  the  hospital  fund  not  deposited  and  locked 
in  the  hospital  safe  or  deposited  in  a  bank. 

254.  The  officer  commanding  the  hospital  will  see  that  due  economy 
in  expending  the  fund  is  observed,  and  that  expenditures  are  not 
made  for  improper  purposes.     Receipts  will  be  taken  for  all  payments. 

255.  Gratuities  to  hospital  cooks  and  assistant  cooks  may  be  au- 
thorized by  department  surgeons  or  the  Surgeon  General  when  the 
amount  of  the  hospital  fund  on  hand  justifies  such  expenditure. 

(a)  A  gratuity  of  not  exceeding  $10  a  month  may  be  paid  from  the 
hospital  fund  to  the  hospital  gardener,  when  authorized  by  the  depart- 
ment surgeon  or  the  Surgeon  General. 

(h)  Vouchers  for  gratuities  will  cite  upon  their  face  the  date  and 
source  of  the  authority  for  paying  them. 

256.  The  purchase  from  the  hospital  fund  of  alcoholic  liquors, 
except  for  the  use  of  the  sick  in  hospital,  is  prohibited. 

257.  When  any  part  of  a  detachment  of  the  Hospital  Corps  leaves 
its  post  in  command  of  a  medical  officer  for  service  in  the  field  the 
surgeon  of  the  post  may  turn  over  to  such  officer  an  equitable  pro- 
portion of  the  hospital  fund  on  hand  for  the  use  of  the  detachment 
taking  the  field. 

(a)  Necessary  transfers  of  the  hospital  fund  from  one  post  to 
another  in  the  department  may  be  authorized  by  the  department 
surgeon,  but  transfers  of  funds  from  one  department  to  another, 
except  as  provided  in  the  first  part  of  this  paragraph,  will  be  made  by 
order  of  the  Surgeon  General  only. 

258.  The  hospital  fund  will  be  audited  by  the  hospital  council 
at  the  end  of  every  month  and  when  the  custodian  is  relieved  from 
its  custody. 

(a)  The  proceedings  of  the  council  required  by  Army  Regulations 
will  be  recorded  on  the  retained  statement  of  the  hospital  fund. 
(See  Appendix :  Hospital  Fund.) 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  89 

259.  Articles  of  durable  property  purchased  with  the  hospital 
fund  will  be  kept  for  the  benefit  of  the  sick,  the  enlisted  men  of  the 
Hospital  Corps,  and  the  members  of  the  Nurse  Corps  by  the  officer 
charged  with  the  custody  of  the  fund.  When  the  same  become 
worn  out  or  unfit  for  use  they  may  be  dropped,  destroyed,  or  sold 
by  authority  of  the  department  surgeon  or  of  the  Surgeon  General. 
Applications  for  authority  to  drop,  destroy,  or  sell  durable  articles 
should  recite  their  exact  condition  and  the  length  of  time  they  have 
been  in  use.  The  proceeds  of  sales  of  such  property  revert  to  the 
hospital  fund. 

260.  Within  five  days  after  its  audit  the  custodian  will  forward  a 
statement  of  the  fund  and  return  of  durable  property  on  Form  49 
to  the  department  surgeon,  or  in  the  case  of  a  post  or  command 
under  the  immediate  supervision  of  the  War  Department  to  the  Sur- 
geon General,  accompanied  by  the  prescribed  vouchers. 

(a)  The  department  surgeon  will  take  such  action  on  the  state- 
ment and  return  as  he  may  deem  appropriate,  and  will  in  due  season 
forward  it  witli  his  approval  or  comment  to  the  Surgeon  General. 
If  the  department  surgeon  approves  it,  he  will  return  the  vouchers 
to  the  hospital  for  file.  If  he  does  not  approve,  he  will  forward  all 
the  papers  to  the  Surgeon  General. 

261.  Invoices  and  receipts  for  hospital  fund  or  hospital  fund 
property  transferred  will  not  be  required;  but  upon  the  complete 
transfer  of  fund  and  property  from  one  custodian  to  another  the 
new  custodian  will  acknowledge  the  receipt  thereof  by  entry  over  his 
signature  across  the  face  of  the  former  custodian's  final  statement 
and  return. 

262.  A  duplicate  of  each  statement  and  return  will  be  filed  with 
the  retained  records  of  the  hospital. 

ICE    FOR    HOSPITALS. 

263 .  The  chief  use  of  ice  in  hospitals  is  as  an  article  of  food  or  for 
the  preservation  of  food.  For  such  use  it  should  be  obtained  from 
the  Quartermaster  Corps,  from  the  ice  plant,  if  one  is  available,  as 
provided  in  existing  orders  (see  Appendix :  Ice) ,  or  as  an  issue  under 
Army  Regulations,  when  authorized;  or  by  purchase  from  the  hos- 
pital fund. 

264.  Ice  required  for  medical  administration  proper,  such  as  for 
ice  baths  of  the  sick,  for  medical  photographic  work,  etc.,  should  be 
procured  from  the  Quartermaster  Corps  ice  machine,  if  one  is  avail- 
able, or  be  obtained  by  purchase  at  the  cost  of  the  medical  and  hos- 
pital appropriation.  Routine  purchases  of  ice  for  medical  purposes 
will  not  be  made  without  the  previous  authority  of  the  Surgeon 
General,  or,  in  the  Philippine  Department,  of  the  department  sur- 


90  MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 

geon.  Accounts  for  emergency  purchases  will  invariably  be  accom- 
panied by  a  separate  statement  of  their  necessity.  Accounts  for 
ice  for  medical  work  will  be  stated  on  Form  330  or  Form  330a,  W. 
D.,  will  show  in  the  officer's  certificate  (taking  care  not  to  encroach 
upon  the  approval  space  to  the  right  of  the  $  sign)  or  on  the  blank 
fold  on  the  back  of  the  form,  specifically  what  the  ice  was  for — as, 
e.  g.,  for  use  in  the  treatment  of  sick  in  hospital,  for  use  in  develop- 
ing photographic  negatives  for  identification  work,  etc. — and  will  be 
forwarded,  with  one  invoice  of  articles  purchased,  Form  12,  to  the 
department  surgeon,  or  if  from  a  command  under  the  immediate 
supervision  of  the  War  Department,  to  the  Surgeon  General,  unless 
otherwise  directed  by  him. 

HOSPITAL    MATRONS. 

265.  Authority  for  the  employment  of  hospital  matrons  is  given  by 
section  1239,  Revised  Statutes.  Their  compensation  of  $10  a  month 
and  a  ration  in  kind  or  by  commutation  is  estabfished  b}^  sections 
1277  and  1295. 

266.  It  is  the  duty  of  the  hospital  matron  to  mend  and  keep  in 
repair  the  table,  hand,  and  operatmg  linen,  the  bedding  and  the 
hospital  clothmg  belonging  to  the  Medical  Department,  including  the 
linen  of  the  dentist's  office,  and  to  do  the  hospital  laundry,  or  so 
much  thereof  as  possible  up  to  a  minimum  of  500  pieces  a  month, 
from  time  to  time,  as  the  same  may  be  required  by  the  surgeon. 

(a)  In  the  case  of  matrons  on  duty  at  the  larger  posts  and  at 
general  hospitals  the  Surgeon  General  may  modify  or  waive  so  much 
of  this  provision  as  requires  the  laundering  of  a  minimum  of  500 
pieces  of  hospital  linen  a  month  in  addition  to  all  the  mendmg. 

267.  The  hospital  laundry  comprises:  First,  the  linen,  clothing, 
and  bedding  belongmg  to  the  Medical  Department,  as  above  enu- 
merated; second,  the  washable  clothing  of  patients  admitted  to  hos- 
pital, which  requires  cleansing  before  it  can  be  put  away  (par.  222) ; 
third,  the  white  coats  and  trousers  of  the  enlisted  attendants  (par. 
47a) ;  fourth,  the  uniforms  (par.  93)  of  the  Nurse  Corps  soiled  while 
on  public  duty. 

(a)  Soiled  blankets,  spreads,  and  other  heavy  pieces  should  not  be 
allowed  to  accumulate,  but  should  be  washed  a  few  at  a  time  as  they 
become  soiled,  so  as  to  equahze  the  matron's  work. 

268.  The  compensation  of  the  matron  being  fixed  by  law,  no  extra 
compensation  for  performing  any  of  the  duties  incident  to  her  em- 
ployment can  be  allowed,  nor  can  other  persons  be  employed  at  the 
expense  of  the  United  States  to  do  her  work  or  any  part  of  it. 

(a)  Matrons  are  forbidden  to  farm  out  their  work  to  other  persons. 
(6)  Matrons  are  not  entitled  to  leaves  of  absence  or  to  pay  and 
rations  while  absent  or  while  unable  to  perform  their  duty. 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  91 

(c)  Matrons  who  are  unable  or  unwilling  to  meet  these  requirements 
should  be  discharged. 

269.  When  the  number  of  pieces  to  be  laundered  is  more  than  the 
matron  can  do  (having  m  mind  the  minimum  of  500  pieces  a  month 
above  required)  the  excess  may  be  put  out  under  the  provisions  of 
paragraphs  270  to  278.  When  it  would  be  an  economy  and  advantage 
to  put  the  entire  lamidry  out  instead  of  the  excess  only,  the  facts 
should  be  reported  to  the  department  surgeon  for  his  mformation  with 
a  view  to  obtaming  the  necessary  instructions  and  authority  for  further 
action.  For  the  purpose  of  this  report  the  matron's  total  compensa- 
tion, including  pay  and  allowances,  is  regarded  as  equivalent  to  $18 
a  month,  of  which  $3  may  be  taken  as  for  the  mending,  and  the 
balance,  $15,  for  the  laundering. 

LAUNDRY    WORK    NOT    DONE    BY    MATRONS. 

270.  The  excess  laundry  at  hospitals  where  there  are  matrons  and 
the  entire  laundry  at  other  hospitals  (except  those  with  laundry 
plants  or  otherwise  provided  for  under  special  instructions  from  the 
Surgeon  General)  may  be  put  out  to  private  laimdries.  When  com- 
petition is  not  had  the  responsible  ofhcer  will  ascertain  the  lowest 
prices  current  m  the  vicinity  for  good  hand  or  machine  work  and 
govern  his  action  accordingly. 

271.  Individual  laundrymen  and  laundresses  may  be  employed 
under  this  authority  without  advertising  for  proposals,  provided 
they  do  the  work  in  person,  the  same  bemg  regarded  as  personal 
services  within  the  meaning  of  section  3709,  Revised  Statutes.  The 
vouchers  will  bear  a  notation  showmg  that  the  work  was  done  by  the 
creditor  in  person. 

272.  Laundry  work  by  steam  laundries,  or  corporations,  firms,  or 
individuals  who  do  a  general  laundry  business,  the  actual  work  being 
done  by  employees  of  such  laimdries,  corporations,  etc.,  may  be 
engaged  m  open  market  as  follows : 

First.  When  proposals  have  been  invited  and  none  have  been 
received,  or  when  the  proposals  are  above  the  market  rate,  or  are 
otherwise  unreasonable. 

Second.  When  it  is  impracticable  to  secure  competition,  as,  for 
example,  when  there  is  but  one  laundry  within  accessible  distance  of 
the  post  or  station. 

Third.  Wlien  there  is  a  public  exigency  which  requires  the  imme- 
diate performance  of  the  work.  An  emergency  can  not  rightfully  be 
held  to  continue  for  a  longer  period  than  may  be  necessary  to  enter 
into  a  contract  for  the  contmuing  service  required.  Work  hired,  how- 
ever, between  the  time  of  inviting  proposals  and  the  final  approval  of 
a  contract  thereunder  may  properly  be  regarded  as  an  emergency 
procurement.     The  emergency  having  been  met,  steps  should  be 


92  MANUAL    FOR    THE    MEDICAL   DEPABTMENT. 

taken  to  obtain  proposals  and  lot  contracts  for  future  service  in  com- 
pliance with  the  general  rule  below  (par.  273). 

Fourth.  When  the  monthly  laundry  is  so  small,  amounting  to  but  a 
few  dollars,  that  no  competitive  bids  could  reasonably  be  expected. 

273.  When,  however,  the  number  of  pieces  to  be  put  out  is  large 
and  reasonabl}^  constant,  the  work  should  be  advertised,  taking  all 
proper  steps  to  obtain  competition  thereon,  and  contract  should  be 
awarded  for  the  same  to  .the  lowest  responsible  bidder.  Blanks  for 
the  purpose  will  be  furnished  by  the  Surgeon  General  on  application. 
The  regulations  respecting  the  time  and  mode  of  advertising,  the 
opening  and  abstracting  of  bids,  and  the  forwarding  of  papers  will 
be  observed  as  in  the  purchase  of  supplies.  Bids  will  onHnarily  be 
invited  by  the  dozen  or  the  hundred  without  regard  to  the  different 
classes  of  goods  to  be  laundered.  If  bidders  will  not  submit  bids  in 
this  form,  separate  bids  on  each  kind  of  article  may  be  invited,  and 
awards  made  under  special  instructions  from  the  Surgeon  General, 
or  in  the  Philippine  Department  from  the  department  surgeon. 

(a)  Wlien  a  more  satisfactory  monthly  arrangement  may  be 
effected  without  advertising,  and  the  amount  involved  does  not 
exceed  $500  for  any  one  month,  the  requirements  of  this  paragraph 
may  be  waived  by  the  Surgeon  General,  or  in  the  Philippine  Depart- 
ment by  the  department  surgeon. 

274.  C'Ontracts  entered  into  on  awards  in  these  cases  will  as  a  rule 
be  made  for  a  fixed  period  of  time,  as,  e.  g.,  for  the  six  montlis  ending 
December  31,  or  the  six  months  ending  June  30,  of  any  fiscal  year. 
If  deemed  advisable,  contracts  for  a  less  or  a  greater  period  may  be 
entered  into,  but  in  no  case  should  a  single  contract  cover  service  in 
different  fiscal  years.  The  contracts  will  be  executed  in  triplicate. 
Contracts  at  posts  within  a  department  will  be  made  subject 
to  the  approval  of  the  department  surgeon.  They  will  be  promptly 
forwarded,  together  with  the  abstracts  of  proposals  and  accompanying 
papers,  and  the  bonds,  when  bonds  are  required,  to  the  department 
surgeon  upon  whose  approval  they  are  conditioned.  Before  approval, 
he  will  see  that  they  are  correct  and  regular  in  every  respect.  One 
of  the  approved  numbers  will  be  given  to  the  contractor  and  the  other 
two  will  be  sent  jjromptly  to  the  Surgeon  General  (one  for  file  in  his 
office  and  the  other  for  transmittal  to  the  Auditor  for  the  War  Depart- 
ment), accompanied  by  both  numbers  of  the  bond,  when  bond  is 
required,  and,  separately,  the  abstract  of  proposals  with  its  exhibits. 
The  Surgeon  General  will  submit  to  the  Secretary  of  War  any  serious 
errors  or  defects  discovered.  Contracts  at  posts  and  stations  under 
the  immediate  supervision  of  the  War  Department  will  be  made  sub- 
ject to  the  approval  of  the  Surgeon  General,  to  whom  all  numbers  of 
the  contract,  the  bonds  when  bonds  are  required,  and  the  abstract, 
with  accompanying  papers,  wiU  be  forwarded.     No  work  will  be  let 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  93 

under  the  contract  until  tlio  approval  upon  which  it  is  conditioned  has 
been  o;iver. 

275.  In  addition  to  the  three  original  numbers  of  the  contract 
executed  as  above,  two  copies  will  be  made,  one  for  the  contractmg 
officer,  the  other  for  the  returns  office  of  the  Department  of  the 
Interior.  The  latter,  prepared  in  strict  conformity  with  sections 
3744  and  3746,  Revised  Statutes,  wiU  be  transmitted  direct. 

276.  Bonds  for  the  faithful  performance  of  contracts  for  laundry 
work  will  not  be  required  except  when  specially  directed  by  the  Sur- 
geon General,  or  in  the  Philippine  Department  by  the  department 
surgeon. 

277.  Vouchers  for  laundry  work  hired  under  the  preceding  para- 
graphs will  be  prepared  on  Form  330  or  Form  330a,  W.  D.  They  wiU 
be  forwarded  to  the  department  surgeon;  or,  if  from  a  command  under 
the  immediate  supervision  of  the  War  Department,  to  the  Surgeon 
General  unless  otherwise  directed  by  him.  They  will  show:  First, 
the  period  during  which  the  work  was  done,  from  first  to  last  dates; 
second,  the  hospital  for  which  it  was  done;  third,  in  general  terms, 
the  classes  of  articles  laundered,  such  as  hospital  Imen,  patients' 
clothing,  nurses'  uniforms,  white  suits  of  enlisted  attendants,  each  or 
all  as  the  case  may  be;  fourth,  the  number  of  each  class  in  gross,  if  a 
flat  price  by  number,  regardless  of  the  several  kinds  of  pieces,  is  to  be_ 
paid,  or,  m  detail,  under  each  class,  if  separate  prices  are  to  be  paid 
for  the  several  kinds  of  pieces;  fifth,  the  price  or  prices  by  the  piece, 
dozen,  or  hundred,  the  charge  by  classes  or  items,  and  the  total 
claimed. 

(a)  When  flat  prices  are  to  be  paid,  regardless  of  the  several  kinds 
of  pieces,  the  vouchers  will  exhibit  the  classification  of  pieces  as 
follows,  for  example : 

Hospital  linen  (property  of  the  Medical  Department),  417  pieces,  at  2  cents. . .  $8.  34 

Patients'  clothing  (their  own  property),  7  pieces,  at  2  cents 14 

\Miite  suits  of  enlisted  attendants  (their  own  property),  22  pieces,  at  2  cents 44 

Nui-ses'  uniforms  (their  own  property),  19  pieces,  at  2  cents 38 

9.  30 

(b)  But  when  different  prices  are  to  be  paid  for  the  various  pieces, 
the  vouchers  will  exhibit  the  items  under  each  class  of  pieces  in  the 
following  form : 

Hospital  linen  (property  of  the  Medical  Department) : 

Blankets,  10,  at  20  cents $2. 00 

Mosquito  bars,  6,  at  5  cents 30 

Bath  towels  and  sheets,  200,  at  2  cents 4. 00 

Hand  towels,  200,  at  ^  cent 1. 00 

Nurses'  uniforms  (their  own  property) : 

Caps,  8,  at  5  cents 40 

Collars,  10,  at  2  cents 20 


94  MANUAL  FOR  THE   MEDICAL   DEPARTMENT. 

Patients'  clothing  (their  own  property): 

Undershirts,  2,  at  7  cents $0. 14 

Drawers,  2,  at  5  cents 10 

WTiite  suits  of  enlisted  attendants  (their  own  property) : 

Trousers,  10,  at  7  cents 70 

Coats,  8,  at  12  cents 96 

9.80 

(c)  The  officer  will  certify  that  "Xo  articles  are  charged  for  in  the 
foregoing  account  except  such  as  are  constituted  a  part  of  the  hospital 
laundry  by  paragraph  267,  M.  Al.  D.,"  taking  care  not  to  encroach 
upon  the  approval  space  to  the  right  of  the  $  sign. 

278.  Vouchers  for  laundry  at  a  hospital  where  there  is  no  matron 
will  contain  in  the  officer's  certfficate  the  notation  "No  matron  at 
post." 

(a)  Vouchers  for  excess  laundry  at  a  hospital  where  there  is  a 
matron  will  be  accompanied  by  a  statement  showing  the  matron's 
name,  the  kind  and  number  of  pieces  laundered  by  her  and  put  to 
hire,  respectively,  during  the  period  covered,  and  by  a  certificate 
that  she  was  unable  to  do  any  of  the  laundry  put  out.  These  will  be 
separate  from  the  vouchers,  which  should  contain  no  reference  thereto. 

HOSPITAL    RULES. 

279.  The  following  rules  are  given  for  the  internal  administration 
of  hospitals.  They  should  be  conspicuously  posted  with  any  others 
that  may  be  decided  upon  by  the  surgeon. 

(a)  GENERAL    RULES. 

(1)  In  the  smaller  hospitals  tlie  senior  noncommissioned  officer,  imder  the  direction 
of  the  surgeon,  is  in  immediate  charge  of  the  hospital  and  the  Hospital  Corps  detach- 
ment. He  will  see  that  all  men  of  the  detachment  and  all  patients  in  the  hospital 
are  always  present  or  accounted  for.  He  will  require  all  members  of  the  detachment 
to  perform  their  duties  quietly  and  treat  the  sick  with  gentleness  and  consideration.' 

(2)  The  noncommissioned  officer  in  charge  of  pubUc  property  will  keep  an  accurate 
account  of  the  same  and  its  place  of  distribution. 

(3)  Each  man  in  charge  of  a  department  of  the  hospital,  as  wardmaster,  noncommis- 
sioned officer  in  charge  of  mess,  etc.,  is  responsible  for  the  properly  used  in  his  depart- 
ment. He  will  keep  a  list  of  the  same  and  will  by  frequent  inventories  assure  liimself 
of  its  presence. 

(4)  All  public  property  in  the  possession  of  the  men  must  be  kept  in  good  order  and 
all  missing  or  damaged  articles  accounted  for. 

(5)  A  noncommissioned  officer  or  other  man,  upon  his  assignment  to  a  department 
of  the  hospital,  will  make  liimself  familiar  with  the  special  orders  governing  it,  and  all 
must  familiarize  themselves  with  the  standing  orders  of  the  hospital. 

(6)  All  noncommissioned  officers  and  privates  of  the  detachment  will  be  present 
at  all  formations  unless  specially  excused. 

1  In  the  larper  hospitals  it  may  be  necessary  to  distribute  these  duties  among  several  noncommissioned 
oflicers  as  determined  by  the  commanding  ollicer  of  the  hospital. 


HOSPITALS    AND   MEDICAL    ATTENDANCE.  95 

(7)  All  men  on  duty  in  the  kitchen  and  mess  room  will  arise  at  least  one  hour  l)eforo 
reveille;  all  other  members  of  the  detachment,  unless  specifically  excused,  will 
arise  at  or  before  first  call  for  reveille. 

(8)  Immediately  after  reveille  each  man  will  arrange  his  bed  and  personal  belong- 
ings in  a  neat  and  orderly  manner.  All  clean  underclothing  will  be  neatly  folded 
and  placed  in  the  lockers,  which  will  be  uniformly  packed;  other  clothing  will  be 
brushed  and  hung  in  the  lockers  or  in  a  specially  designated  place.  Soiled  clothing 
will  be  kept  in  the  barrack  bags.  Shoes  will  be  polished  and  neatly  arranged  in  the 
lockers  or  under  the  sides  of  the  beds. 

(9)  All  beds  will  be  overhauled  and  cleaned  each  week  and,  weather  permitting, 
the  bedding  and  mattresses,  together  with  the  other  clothing,  will  be  well  shaken 
and  hung  out  to  air  for  at  least  two  hours.  Mattress  covers  will  be  changed  imme- 
diately before  each  monthly  inspection  or  oftener  if  necessary.  Sheets  and  pillow- 
cases will  be  changed  at  least  once  each  week. 

(10)  A  card  bearing  the  name  of  the  soldier  will  be  attached  to  the  foot  of  his  bed, 
and  his  accouterments  will  be  hung,  neatly  and  uniformly  arranged,  on  the  foot  end 
iron  of  his  bunk. 

(11)  The  squad  room  will  always  be  kept  clean,  neat,  and  orderly. 

(12)  The  men  will  pay  the  utmost  attention  to  personal  cleanliness;  each  will 
bathe  at  least  once  weekly,  his  hair  must  be  kept  short,  and  his  face  shaved,  or  beard 
neatly  trimmed,  and  his  underclothing  frequently  changed.     (See  Army  Regulations.) 

(13)  Members  of  the  detachment  will  wear  the  prescribed  uniform  at  all  times 
when  present  at  the  post.  While  on  fatigue  they  may  wear  the  fatigue  dress.  While 
on  duty  in  wards;  dispensary,  operating  room,  mess  room,  or  kitchen,  they  will  wear 
the  white  uniform. 

(14)  No  member  of  the  detachment  will  leave  the  hospital  bounds  except  by  per- 
mission of  proper  authority  or,  in  case  of  emergency,  in  the  execution  of  duty. 

(15)  Immediately  after  breakfast  the  hospital  will  be  thoroughly  policed  in  every 
department.  It  must  be  ready  for  inspection  at  the  hour  designated  by  the  surgeon 
and  always  be  kept  absolutely  clean. 

(16)  No  member  of  the  hospital  personnel  will  borrow  from  or  have  financial  dealings 
with  any  patient. 

(17)  When  necessary  a  noncommissioned  officer  in  charge  of  quarters  will  be  detailed 
daily  by  roster  from  noncommissioned  officers  on  duty  with  the  detachment,  and  an 
emergency  squad  will  always  be  designated. 

(18)  The  noncommissioned  officer  in  charge  of  quarters  will  make  an  inspection  of 
all  wards  and  quarters  at  such  times  as  the  surgeon  may  direct,  will  report  all  imau- 
thorized  absentees  to  the  noncommissioned  officer  in  charge  of  the  detachment,  and 
will  see  that  no  unauthorized  lights  are  burning.  In  case  of  fire  he  mil  give  the 
alarm  and  proceed  as  ordered  in  fire  regulations.  He  vnll  be  responsible  for  the 
efficient  performance  of  the  watchman's  duties. 

(19)  The  night  watchman,  when  one  is  necessary,  will  be  under  the  immediate 
orders  of  the  noncommissioned  officer  in  charge  of  quarters.  He  will  patrol  the  hos- 
pital grounds  at  least  once  every  three  hours  and  will  be  constantly  on  the  alert  for 
fires,  lights,  and  unauthorized  persons  in  or  about  the  hospital.  He  will  at  once 
report  to  the  noncommissioned  officer  indicated  all  unusual  occurrences  and  viola- 
tions of  existing  orders  which  come  under  Ms  observation. 


(h) 


■WARD    RTJIjES. 


(1)  The  wardmaster  of  each  ward  is  directly  responsible  to  the  ward  surgeon.  He  is 
in  charge  of  his  ward  and  the  enlisted  assistants  and  patients  in  it,  and  will  be  obeyed 
and  respected  accordingly. 


96  MANUAL   FOR    THE    MEDICAL    DEPARTMENT. 

(2)  The  wardmaster  is  responsible  for  the  cleanliness  and  order  of  his  ward,  for  the 
public  properly  therein,  and  for  the  effects  of  his  patients  until  they  have  been  turned 
over  to  the  proper  custodian.  He  is  responsible  for  the  prompt  delivery  of  prescrip- 
tions to  the  dispensary,  of  medicines  to  his  ward,  and  of  the  diet  orders  to  the  hospital 
office. 

(3)  In  wards  to  which  members  of  the  Nurse  Corps  are  not  assigned  the  wardmaster 
is  responsible  for  the  administration  of  medicines  and  other  treatment  prescribed,  the 
keeping  of  records,  and  all  other  duties  that  may  be  assigned  to  him  by  the  ward  officer. 

(4)  Phenol,  bichloride  of  mercury,  other  active  poisons,  alcohol,  and  alcoholic 
liquors,  when  necessarily  on  hand  in  the  ward,  will  be  kept  under  lock  and  key  and 
every  precaution  taken  to  prevent  their  improper  use. 

(5)  On  the  death  of  a  patient  the  wardmaster  will  notify  the  ward  surgeon,  or  in  his 
absence  the  medical  officer  of  the  day.  He  will  not  remove  the  body  from  the  ward 
until  after  it  has  been  examined  by  a  medical  officer. 

(6)  The  wardmaster  will  see  that  patients  are  acquainted  with  the  ward  rules. 

(7)  Before  leaving  the  ward  at  the  end  of  his  daily  tour  of  duty,  the  wardmaster 
will  turn  over  to  liis  relief  all  orders  of  the  ward  surgeon,  accompanied  by  such  expla- 
nation and  instruction  as  may  be  necessary. 

(8)  Upon  reaching  the  ward,  patients  will  be  promptly  bathed,  clothed  in  clean 
hospital  clotMng,  and  put  to  bed,  imless  their  condition  indicates  otherwise  or  a 
specific  order  forbids. 

(9)  Money  and  valuables  found  on  patients  will  be  disposed  of  as  prescribed  in 
paragraph  221,  M.  M.  D.  The  commanding  officer  will  not  be  responsible  for  money 
or  valuables  of  patients  not  turned  over  for  deposit  in  the  hospital  safe. 

(10)  A  clinical  record  will  be  carefully  kept  for  each  patient.  Upon  final  disposi- 
tion of  the  case  tliis  record  will  be  completed  and  signed  by  the  ward  surgeon  and 
turned  in  to  the  record  office.     (M.  M.  D.,  par.  407.) 

(11)  No  information  regarding  the  diseases  or  condition  of  patients  under  treat- 
ment will  be  given  to  anyone  except  those  authorized  under  the  regulations  to 
receive  it. 

(12)  Visitors  will  be  allowed  to  see  friends  in  the  ward  at  a  specilied  time,  when 
their  presence  will  in  no  way  disturb  other  patients;  but  female  visitors  will  not  be 
permitted  in  the  wards  except  when  cases  are  serious,  and  then  only  by  special  per- 
mission of  the  ward  surgeon. 

(13)  Bed  linen  will  be  changed  on  occupied  beds  at  least  twice  weekly,  and  oftener 
if  necessary  to  insure  cleanliness.  Whenever  a  bed  is  to  be  occupied  by  a  new  patient 
clean  linen  will  be  furnished.  All  bedding  and  clothing  used  by  infectious  cases 
will  be  promptly  disinfected  when  removed  from  the  beds.  Patients  will  not  occupy 
their  beds  when  dressed  in  other  than  hospital  clothing. 

(14)  Loud  noises,  boisterous  actions,  the  use  of  profane  language,  and  gambling 
are  forbidden  in  the  wards,  and  no  food,  intoxicants,  or  other  articles  of  food  or  drink, 
except  as  prescribed  or  authorized,  will  be  brought  into  the  wards. 

(15)  Patients  are  forbidden  to  use  towels,  basins,  toilet  articles,  eating  utensils, 
or  articles  of  clothing  pertaining  to  another  patient. 

POST    HOSPITALS. 

280.  Post  hospitals  are  maintained  at  garrisoned  posts  and  in 
the  main  each  receives  patients  only  from  the  garrison  to  which  it 
belongs. 

281.  The  senior  medical  officer  of  a  post  commands  the  hospital, 
its  persoiiind  aiul  patients,  subject  to  the  authority  of  the  post  com- 
mander, to  whom  his  relations  are  analogous  to  those  of  a  company 


HOSPITALS   AND    MEDICAL   ATTENDANCE.  97 

commander.  His  duties  are  indicated  in  general  terms  in  Army 
Regulations. 

(a)  He  will  determine  wliat  patients  are  to  be  admitted  to  the 
hospital,  wiU  assign  them  to  wards  or  divisions  according  to  conven- 
ience and  the  natm*e  of  their  complaints,  and  wiU  take  proper  meas- 
ures for  their  care  and  treatment.  By  liis  prescription  and  mider  his 
direction  convalescent  patients  may  be  employed  to  perform  such 
hght  pohce  duty  in  and  about  the  hospital  as  may  not  be  injurious 
to  their  health.  He  w^ill  decide  when  they  are  so  far  recovered  as  to 
be  able  to  leave  hospital  and  will  return  them  to  duty  or  to  quarters 
accordingly. 

(6)  He  wiU  be  responsible  for  the  care  and  preparation  of  the 
necessary  hospital  reports,  registers,  and  records,  as  well  as  for  all 
public  property  which  may  come  into  his  possession ;  for  the  proper 
expenditure  of  supphes  and  funds;  and  for  the  preparation  of  re- 
quisitions, returns,  and  muster  and  pay  rolls  of  the  hospital.  He 
will  require  a  proper  performance  of  duty  by  the  entire  hospital 
personnel  and  will  make  and  enforce  proper  regulations  as  to  the 
sanitary,  disciplinary,  and  other  requirements  of  the  hospital. 

DEPARTMENT    HOSPITALS. 

282.  A  department  hospital  is  under  the  control  of  the  commanding 
officer  of  the  department  in  which  it  is  situated.  In  all  other  respects 
its  organization,  administration,  and  function  correspond  to  that  of 
a  general  hospital. 

GENERAL    HOSPITALS. 

283.  General  hospitals  are  maintained  for  the  following  purposes: 
(1)  To  afford  better  facilities  than  can  be  provided  at  the  ordinary 
post  hospitals  for  the  study,  observation,  and  treatment  of  serious, 
complicated,  or  obscure  cases.  For  this  purpose  general  hospitals 
are  equipped  with  the  best  modern  apparatus  for  the  study  and 
treatment  of  such  cases,  and  maintain  a  specially  quahfied  per- 
sonnel. (2)  To  afford  opportunities  for  the  performance  of  the 
more  difficult  or  formidable  surgical  operations,  facilities  for  which 
may  be  lacking  at  post  hospitals.  (3)  To  study  and  finally  dis- 
pose of  cases  that  have  long  resisted  treatment  elsewhere,  and 
to  determine  questions  of  the  existence,  cause,  extent,  and  perma- 
nence of  mental  and  physical  disabilities  of  long  standing  or  unusual 
obscurity.  (4)  To  instruct  and  train  junior  medical  officers  in 
general  professional  and  administrative  duties.  (5)  To  form  a 
nucleus  for  the  development  of  the  larger  hospitals  required  in  the 
home  territory  in  time  of  war. 

284.  General  hospitals  are  under  the  exclusive  control  of  the 
Surgeon  General,  except  in  matters  pertaining  to  the  administration 

93440°— 17 7 


98  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

of  military  justice  and  are  governed  by  such  regulations  as  are  pre- 
scribed by  the  Secretary  of  War.  The  senior  medical  officer  on 
duty  therem  will  command  the  same  and  will  not  be  subject  to  the 
orders  of  local  commanders  other  than  those  of  territorial  depart- 
ments to  whom  specific  delegation  of  authority  may  have  been 
made.     (See  Army  Regulations.) 

285.  Officers  and  enUsted  men  on  the  active  Hst  of  the  Army  who 
shall  have  been  transferred  to  a  general  hospital  for  treatment  only 
will,  when  fit  for  duty,  be  returned  to  their  proper  posts  or  com- 
mands by  the  commanding  officer  of  the  hospital,  unless  he  shall  have 
been  otherwise  instructed.     (See  Army  Regulations.) 

286.  AH  supphes  except  medical,  for  general  hospitals,  including 
allotments  for  current  repairs,  are  obtained  through  the  headquar- 
ters of  the  territorial  departments  in  which  they  are  located.  (See 
Appendix:  General  Hospitals.) 

287.  In  the  case  of  an  officer  or  eiiUsted  man  who  has  been  under 
treatment  in  a  general  hospital  for  tliree  months,  a  special  report 
will  be  made  to  the  Sm-geon  General  giving  the  history  and  diagno- 
sis of  the  case,  a  brief  statement  of  the  treatment  and  its  results,  and 
the  prognosis;  unless,  if  an  enUsted  man,  he  is  to  be  discharged  on 
certificate  of  disability. 

288.  An  officer  or  enhsted  man  will  not  be  admitted  or  readmitted 
to  a  general  hospital  except  when  authorized  by  liis  commanding 
officer  or  higher  authority. 

289.  A  general  hospital  of  standard  size  has  a  capacity  of  500 
beds,  exclusive  of  isolation  wards.  Complete  plans  and  specifications 
for  the  erection  of  temporary  hospitals  of  this  capacity,  for  use  in 
time  of  war  or  other  emergency,  are  on  file  in  the  Surgeon  General's 
Office.  These  plans  and  specifications  are  also  suitable  for  use  in 
the  erection  of  additional  buildmgs  for  the  temporary  expansion  of 
hospitals  already  organized. 

290.  The  following  tabular  statement  fiu-nishes  a  working  plan  of 
administration  and  gives  an  approximate  idea  of  the  personnel 
required : 

ADMINISTRATION  DIVISION. 

COMMANDING   OFFICEK. 

1  colonel  or  lieutenant  colonel,  M.  C. 

adjutant's  office. 

(In  charge  of  administrative  records  and  correspondence,  telegraph  office,  telephone 
exchange,  and  post  office.) 


1  major,  M.  C. 

2  sergeants  first  class,  H.  C. 
11  privates,  H.  C. 

1  sergeant,  Signal  Corps. 


1  first-class  private,  Signal  Corps. 

2  civilian   employees,   M.    D.  (stenogra- 
phers). 


HOSPITALS   AND    MEDICAL   ATTENDANCE. 


99 


registrar's  office. 

(Ill  charge;  of  medical  and  surgical  records;   commanding  officer,  detachment  of 
patients;  in  charge  of  patients'  money  and  valuables.) 


1  major  or  captain,  M.  0. 

2  sergeants  first  class,  H.  0. 


1  sergeant,  H.  C. 
6  privates,  H.  C. 


quartermaster's  office. 

(In  charge  of  quartermaster,  medical,  ordnance,  and  Signal  Corps  property  and  funds; 
construction  and  repair  of  buildings;  transportation;  police  and  care  of  grounds; 
disinfecting,  laundry,  heating,  lighting,  and  ice  plants;  clothing  and  baggage  room 
of  patients.) 


1  major  or  captain,  M.  C. 

1  captain  or  lieutenant,  M.  0. 

2  sergeants  first  class,  H.  C. 
5  sergeants,  H.  0. 

22  privates,  H.  C. 

2  quartermaster  sergeants,  Q.  M.  G. 

1  sergeant  first  class,  Q.  M.  C. 

7  sergeants,  Q.  M.  C.  (1  stenographer,  1 
clerk,  1  overseer,  1  blacksmith,  1  plum- 
ber, 1  carpenter,  1  engineer). 


8  corporals,  Q.  M.  C.  (1  foragemaster,  1 
storekeeper,  1  baker,  1  printer,  1  painter, 
1  farrier,  1  saddler,  1  gardener). 

1  cook,  Q.  M.  C. 

7  privates  first  class,  Q.  M.  C.  (5  team- 
sters, 2  firemen). 

5  privates,  Q.  M.  C.  (laborers,  scavengers, 
etc.). 

Civilian  employees  (seamstresses,  laundry 
employees,  attendants,  scrub  women, 
etc.). 


hospital  mess. 


(In  charge  of  hospital  messes,  kitchens,  bakery,  and  special  diet  service;  post  ex- 
exchange;  hospital  fxmd.) 


1  captain  or  lieutenant,  M.  C. 

2  sergeants  first  class,  H.  C. 
4  sergeants,  H.  C. 

10  acting  cooks,  H.  C. 


30  privates,  H.  C. 
4  Army  Nurse  Corps  (dietists). 
6  civilian  employees,  M.  D.  (1  chief  cook. 
2  cooks,  2  assistant  cooks,  1  baker). 


COMMANDING    OFFICER,    DETACHMENT,    H.    C. 

(In  charge  of  detachment,  H.  C,  on  duty  at  the  hospital;  recruiting,  identification 

work,  and  sick  call.) 


1  captain  or  lieutenant,  M.  C. 
1  sergeant  first  class,  H.  C. 
4  sergeants,  H.  C. 


2  corporals,  H.  C. 
5  acting  cooks,  H.  C. 
20  privates,  H.  C. 


OFFICER   OF  THE   DAY. 


(Detailed  from  roster  of  medical  officers.  In  charge  of  the  guai'd;  receiving  office, 
roster  of  patients  and  morning  report  of  admissions  and  losses;  ambulance,  emer- 
gency, and  fire-alarm  service;  information  office.) 


3  sergeants,  H.  C. 


6  privates,  H.  C. 


OFFICER    OF   THE    GUARD. 


(Detailed  from  roster  of  junior  medical  officers.     Commands  the  guard  under  the 
direction  of  the  officer  of  the  day.) 

2  sergeants,  H.  C.  '     I  24  privates,  H.  C. 

2  corporals,  H.  C.  I 

This  detail  is  made  in  time  of  war  only  and  when  the  guard  is  not  furnished  by  the 
line. 


100  MANUAL  FOR   THE    MEDICAL  DEPARTMENT. 

CHAPLAIN. 

(In  charge  of  chapel,  library,  reading  rdom,  amusement  hall,  and  post  echool.) 
1  oflScer,  Corps  of  Chaplains.  )  1  private,  H.  C. 

PROFBSSIONAIi  DIVISION. 

CHIEF    OF    MEDICAL   SERVICE. 

(In  charge  of  the  medical  service,  receiving  ward,  and  difipensary.) 

1  major,  M.  C.  12  privates,  H.  C. 

2  sergeants,  H.  C.  I 

CHIEF   OF   SURGICAL   SERVICE. 

(In  charge  of  the  surgical  service,  including  the  operating  and  dressing  rooms.) 


1  major,  M.  C. 

1  captain  or  lieutenant,  M.  C. 

1  sergeant,  H.  C. 


4  privates,  H.  C. 

5  Army  Nurse  Corps. 


(Ward  oflicers  may  be  assigned  additional  duties  in  eye,  ear,  nose,  and  throat,  genito- 
urinary and  other  special  services;  assistants  to  operating  surgeon,  etc.) 

12  captains  or  lieutenants,  M.  C.  I  70  privates,  H.  C. 

6  sergeants,  H.  C.  I  53  Army  Nurse  Corps. 

LABORATORY. 

(In  charge  of  chemical,  bacteriological,  and  X-ray  laboratories  and  morgue.) 

1  captain  or  lieutenant,  M.  C.  I  2  sergeants,  H.  C. 

1  sergeant  first  class,  H.  C.  |  4  privates,  H.  C. 

DENTAL    SERVICE. 

(In  charge  of  dental  service.) 
1  lieutenant,  D.  C.  I  1  private,  H.  C. 

NURSING    SERVICE. 

(In  charge  of  nursing  service.) 


1  chief  nurse,  A.  N.  C. 

1  assistant  chief  nurse,  A.  N.  C. 

1  supervising  night  nurse,  A.  N.  C. 


7  civilian  employees,  M.   D.  (1  cook,  1 

assistant  cook,  5  attendants). 
See  also  Wards  and  Hospital  Mess. 


CONVALESCENT  CAMP. 

1  captain  or  lieutenant,  M.  C.  11  sergeant,  H.  C. 

1  sergeant  first  class,  H.  C.  16  privates,  H.  C. 

Note. — The  term  "private,  H.  C."  is  used   in  the  above  table  to  denote  both 
privates  first  class  and  privates,  H.  C. 

(a)  Tlic  allowance  of  the  members  of  the  Quartermaster  Corps  or 
their  civilian  substitutes  and  of  the  civilian  employees  of  the  Medical 


HOSPITALS  AND   MEDICaL   A'ITE'NT>A''N'C'F;  101 

Department  will  vary  according  to  the  character  and  special  work  of 
the  hospital,  and  will  be  decided  in  each  case  by  the  proper  authority. 
For  the  duties  of  the  several  grades  in  the  Quartermaster  Corps  see 
"Quartermaster  Corps"  in  the  Appendix. 

(b)  In  time  of  war  25  per  cent  of  the  officers  of  the  professional 
division,  25  per  cent  of  the  ward  attendants,  and  75  per  cent  of  the 
nurses  might  be  furnished  by  personnel  from  the  American  National 
Red  Cross  Society.  This  corresponds  approximately  to  one  Red 
Cross  hospital  column.     (See  pars.  102  and  536fc.) 

COMMANDING   OFFICER. 

291.  'Hie  commanding  officer  has  all  the  responsibiUty  of  a  post 
commander  as  prescribed  in  Army  Regulations,  in  addition  to  the 
general  management  of  the  hospital. 

ADJUTANT. 

292.  Under  the  direction  of  the  commanding  officer  the  adjutant 
will  have  charge  of  the  correspondence  and  various  rosters  of  service; 
he  will  make,  publish,  and  verify  all  orders  and  details,  keep  the 
records  of  the  hospital,  and  perform  such  other  duties  as  are  required 
by  regulations.  Through  him  the  commanding  officer  communicates 
with  the  officers  and  men  of  his  command.  He  is  the  representative 
of  the  commanding  officer  and  the  executive  officer  of  the  hospital. 

REGISTRAR. 

293.  The  registrar  will  have  charge  of  all  medical  and  surgical 
records  and  will  see  that  careful  and  accurate  clinical  histories  and 
sick  and  wounded  records  are  kept.  He  will  prepare  all  reports  and 
returns  pertaining  to  the  sick  and  wounded.  He  wiU  act  as  the  com- 
manding officer  of  the  detachment  of  patients  and  will  have  charge 
of  all  records,  accounts,  and  returns  pertaining  thereto.  He  will  care 
for  the  money  and  valuables  of  patients  in  hospital. 

QUARTERMASTER. 

294.  The  quartermaster  will  be  in  charge  of  aU  pubHc  property, 
supplies,  and  funds;  the  construction  and  repair  of  buildings;  trans- 
portation; outside  poHce  and  care  of  grounds;  laundry,  disinfection, 
and  refrigeration  plants;  power  plant,  shops,  and  baggage  store- 
rooms. The  property  necessary  to  equip  the  different  departments 
of  the  hospital  will  be  issued  on  memorandum  receipts  to  the  re- 
sponsible officers.  Tliese  officers  will  check  property  at  least  once  a 
month,  and  upon  transfer  of  their  responsibility.  All  losses  or  ex- 
cesses of  property  wiU  be  promptly  reported  to  the  accountable  officer. 


102  MANUAI.  FOR-  THE    MEDICAL   DEPARTMENT. 

»  MESS    OFFICER. 

295.  The  mess  officer  will  establish  and  conduct  such  messes  and 
furnish  such  diets  as  the  commanding  officer  may  direct,  in  accordance 
with  the  principles  of  mess  management  outlined  in  paragraph  231 
et  seq.  He  will  be  accountable  for  and  expend  the  hospital  fund 
under  the  supervision  of  the  commanding  officer. 

COMMANDING    OFFICER,  DETACHMENT    HOSPITAL   CORPS. 

296.  Tlie  detachment  commander  wiU  command  the  personnel  of 
the  Hospital  Corps  on  duty  at  the  hospital.  He  wiU  supply  such 
details  to  different  departments  of  the  hospital  as  may  be  directed  by 
the  commanding  officer.  He  will  be  responsible  for  the  discipUne, 
instruction,  equipment,  and  rationmg  of  the  detachment  and  will 
keep  all  records  and  accounts  pertaining  to  the  individual  members 
thereof.  He  will  provide  for  the  subsistence  of  all  prisoners  in  the 
guardhouse.  He  w^ll  hold  the  daily  sick  call  for  the  personnel  of  the 
hospital  and  perform  such  other  duties  as  the  commanding  officer 
may  direct. 

OFFICER   OF   THE    DAY. 

297.  The  officer  of  the  day  will  be  assigned  to  duty  for  a  tour  of 
24  hours,  during  which  he  will  always  be  accessible  for  cases  of 
emergency  and  to  meet  the  requirements  of  the  duties  hereinafter 
stated.  He  will  be  notified  by  the  adjutant  of  his  selection  for  duty 
on  the  day  preceding  that  on  which  his  tour  begins.  He  may  be 
required  to  perform  his  regular  duties  when  they  will  not  conffict 
with  the  performance  of  his  duties  as  officer  of  the  day. 

298.  Three  noncommissioned  officers  will  ordinarily  be  detailed 
permanently  as  assistants  to  the  officer  of  the  day,  and  there  wiU 
be  at  all  times  one  noncommissioned  officer  and  one  private  on 
duty  in  his  office.  The  noncommissioned  officers  will  report  to  the 
officer  of  the  day  at  the  beginnmg  of  their  respective  tours  of  duty 
and  will  in  no  case  leave  the  office  until  the  arrival  of  their  rehef. 

299.  At  an  hour  to  be  designated  in  hospital  orders  the  old  and 
the  new  officers  of  the  day  will  report  to  the  commanding  officer, 
the  old  officer  of  the  day  to  render  his  report,  the  new  officer  of 
the  day  to  receive  such  instructions  as  the  commanding  officer  may 
wish  to  give.  At  the  expiration  of  his  tour  of  duty  the  officer  of 
the  day  will  report  in  writing  to  the  commanding  officer  the  hours 
at  wliich  the  prescribed  inspections  were  made;  any  breaches  of 
discipline,  infraction  of  the  hospital  rules,  neglects  or  disorders  that 
may  have  occurred  during  his  tour  of  duty;  and  any  other  occurrences 
which  should  properly  be  brought  to  the  attention  of  the  command- 
ing officer. 


HOSPITALS   AND   MEDICAL  ATTENDANCE.  103 

300.  The  officer  of  the  day  will  make  a  general  inspection  of  the 
hospital  at  such  hours  as  the  commanding  officer  may  direct.  Dur- 
ing this  inspection  he  will  note  any  disorder  or  neglect  and,  if  prac- 
ticable, will  immediately  correct  the  same.  He  will  satisfy  himself 
that  the  watchmen  or  guards  are  familiar  with  their  duties  and  are 
performing  them  satisfactorily.  During  his  tour  of  duty  he  will 
inspect  at  least  one  of  the  meals  served  in  each  hospital  mess.  He 
will  receive  the  reports  of  the  roll  calls  required  by  orders.  On  the 
outbreak  of  fire  he  will  assume  charge  until  the  arrival  of  the  fire 
marshal  or  of  the  senior  officer  present  at  the  hospital.  In  the 
absence  of  the  ward  surgeon  he  will  examine  the  body  of  any  patient 
who  may  die  during  his  tour  of  duty  and  order  its  removal  to  the 
morgue,  notifying  the  adjutant  of  his  action. 

301.  The  officer  of  the  day  will  examine  and  admit  all  incoming 
patients.  If  the  officer  of  the  day  is  temporarily  unavailable,  the 
noncommissioned  officer  on  duty  in  the  receiving  office  wiU  notify 
the  adjutant  of  the  arrival  of  patients,  and  the  adjutant  wiU  act 
in  his  stead  or  designate  another  officer  to  act  temporarily  as  sub- 
stitute for  the  officer  of  the  day  until  he  is  again  available.  In  no 
case  will  a  patient  be  admitted  and  assigned  to  a  ward  until  he  has 
been  seen  and  examined  by  the  officer  of  the  day  or  some  regularly 
designated  substitute. 

(a)  If  there  is  any  doubt  as  to  the  ward  to  which  he  should  be 
assigned  the  patient  will  be  held  m  the  receiving  ward  for  disposi- 
tion by  the  chief  of  the  medical  service.  The  officer  of  the  day  will 
receive  money  and  valuables  from  patients  on  admission  and  will 
turn  them  over  to  the  registrar  for  safe  keeping.  An  attendant  from 
the  receiving  office  will  conduct  incoming  patients  to  the  wards  to 
which  they  have  been  assigned,  care  for  their  baggage  and  equip- 
ment, and  turn  over  to  the  wardmaster  the  patient's  admission  sUp. 
(See  par.  209.) 

302.  The  noncommissioned  officers  on  duty  with  the  officer  of  the 
day  wiU  keep  a  card  index  of  patients  in  hospital  and  will  enter 
gains  and  losses  on  the  morning  report  of  sick.     (Form  71.) 

303.  Upon  the  admission  of  a  patient  to  hospital  the  noncommis- 
sioned officer  will  secure  his  effects,  other  tlian  money  and  valuables, 
hst  them  in  duplicate  on  the  patient's  property  card  (Form  75), 
tag  them  for  identification  (Form  76),  and  turn  them  over  to  the 
noncommissioned  officer  in  charge  of  the  store  room  for  patients' 
effects.  The  latter  will  sign  both  hsts,  retain  one  of  them  and 
return  the  other,  which  will  be  filed  in  the  registrar's  office.  Upon 
the  departure  of  a  patient  from  hospital  the  wardmaster  wiU  notify 
the  noncommissioned  officer  on  duty,  who  will  obtain  the  hst  of  the 
patient's  effects  from  the  registrar's  office,  and  upon  their  dehvery  to 


104  MANUAL   FOR    THE    MEDICAL  DEPARTMENT. 

the  patient  obtain  his  receipt,  which  will  be  returned  to  the  registrar's 
office  for  file.     (See  par.  221.) 

304.  All  pubhc  property  left  by  patients  at  the  hospital  will  be 
turned  over  to  the  quartermaster,  who  will  dispose  of  it  as  indicated 
in  paragraph  227. 

305.  In  time  of  peace  the  noncommissioned  officer  on  duty  will 
have  charge  of  the  Hospital  Corps  men  on  duty  as  watchmen.  He 
will  satisfy  himself  that  they  have  been  properly  instructed  and 
understand  their  orders.  He  will  maintain  quiet  and  order  in  the 
hospital  and  will  notify  the  officer  of  the  day  of  any  unusual 
occurrence. 

306.  In  time  of  peace  the  hospital  will  be  guarded  by  Hospital 
Corps  men  detailed  as  watchmen  under  the  officer  of  the  day  and 
his  noncommissioned  assistants.  In  time  of  war  the  necessary 
guard  will  ordinarily  be  performed  by  a  permanent  detail  of  sani- 
tary troops,  and  for  this  purpose  the  Hospital  Corps  personnel  will 
be  increased. 

(a)  When  this  detail  from  the  sanitary  troops  is  not  available  the 
necessary  guard  may  be  obtamed  on  request  from  the  department 
commander.  When  the  commander  of  such  a  guard  is  a  commis- 
sioned officer  he  will  confer  with  the  commanding  officer  of  the 
hospital  as  to  the  character  of  the  guard  duty  desired  by  the  latter, 
but  wiU  exercise  no  control  over  the  sanitary  formation.  If  such 
a  guard  is  not  accompanied  by  a  commissioned  officer  it  will  be 
reported  by  the  noncommissioned  officer  in  charge  to  the  command- 
ing officer  of  the  hospital  and  will  be  placed  under  the  immediate 
command  of  the  officer  of  the  day. 

CHIEFS    OF    SERVICE. 

307.  The  chiefs  of  the  medical  and  surgical  services,  respectively, 
will  be  responsible  for  the  proper  administration  of  their  depart- 
ments. They  will  assign  the  ward  surgeons  to  their  duties  and  wiU 
see  that  patients  are  admitted  to  suitable  wards  and  that  they 
receive  proper  care  and  treatment.  They  wiU  visit  and  inspect  their 
wards  frequently  and  will  consult  with  and  advise  the  ward  surgeons. 
The  receiving  and  observation  ward  will  be  in  charge  of  tlie  chief  of 
the  medical  service. 

WARDS. 

308.  Medical  officers  when  assigned  to  duty  as  ward  surgeons  will 
be  held  responsible  for  the  professional  care  of  the  patients,  for  the 
condition  of  the  wards,  and  for  the  proper  performance  of  the  duties 
devolving  upon  the  nurses  and  attendants  assigned  to  service  in  con- 
nection therewith. 


HOSPITALS   AND   MEDICAL  ATTENDANCE.  105 

309.  Ward  surgeons  will  make  such  visits  to  their  wards  as  the 
commanding  officer  may  prescribe  and  such  additional  visits  as  may 
be  necessary.  In  the  absence  of  the  ward  officer  the  officer  of  the 
day  will  attend  cases  of  emergency,  and  it  will  be  the  duty  of  the  ward 
officer  to  call  to  the  attention  of  the  officer  of  the  day  any  cases  of 
critical  illness  that  may  require  attention  during  such  absence. 

310.  Ward  surgeons  will  report  to  their  chief  of  service  the  names 
of  patients  in  their  wards  whom  they  consider  fit  subjects  for  dis- 
charge on  certificate  of  disability  or  for  transfer  to  other  hospitals. 
They  will  report  all  cases  of  critical  illness  to  the  adjutant  and  verify 
the  addresses  of  relatives. 

CHIEF   NURSES    AND    NURSES. 

311.  Chief  nurse. — The  chief  nurse  will  be  under  the  immediate 
orders  of  the  comnianding  officer  of  the  hospital.  She  will  have 
general  supervision  of  the  nursing  service  in  all  wards  in  which  nurses 
of  the  Nurse  Corps  are  on  duty,  and  will  be  in  charge  of  the  nurses' 
quarters. 

{a)  She  will  familiarize  herself  with  the  Army  Regulations  and  the 
Manual  for  the  Medical  Department  in  so  far  as  they  relate  to  the 
Nurse  Corps,  and  will  instruct  the  nurses  under  her  supervision  in 
such  regulations  as  refer  to  them  and  in  the  duties  peculiar  to  Army 
work. 

(b)  She  will  see  that  nurses. properly  perform  their  duties  and  will 
be  responsible  for  the  maintenance  of  discipline  among  them  both  in 
wards  and  in  quarters.  She  will  at  once  report  any  neglect  of  duty 
or  serious  breach  of  discipline  to  the  commanding  officer  of  the 
hospital. 

(c)  She  will  arrange  the  hours  of  duty  and  assignments  of  all 
nurses  and  will  be  responsible  for  the  execution  of  all  orders  relating 
thereto. 

{d)  She  will  be  responsible  for  the  comfort  and  general  well-being 
of  the  nurses  under  her,  and  will  promptly  report  to  the  commanding 
officer  of  the  hospital  any  matters  which  improperly  affect  the  same. 
She  will  also  bring  to  his  attention  at  once  any  case  of  illness  among 
the  nurses. 

(g)  When  required  by  the  commanding  officer  of  the  hospital,  she 
will  supervise  the  instruction  in  practical  nursing  of  Hospital  Corps 
men  on  ward  duty. 

312.  Supervising  night  nurse.— When  necessary,  the  chief  nurse  wiU 
assign  a  nurse  to  supervise  the  nursing  service  of  the  hospital  at 
night.  Ward  nurses  on  night  duty  will  respect  the  orders  of  the 
supervising  night  nurse  accordingly.  They  will  apply  to  her  for 
instructions  if  they  need  them  and  will  inform  her  at  once  of  aU  emer- 


106  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

gencies  arising  in  the  wards.  The  supervising  night  nurse  will  on 
being  relieved  report  to  the  chief  nurse  any  unusual  incidents  of  the 
night's  work  and  any  derelictions  of  duty  on  the  part  of  the  night 
nurses, 

313.  Head  nurse. — The  chief  nurse  will  designate  one  nurse  for  each 
ward  to  act  as  its  responsible  nursing  head.  The  head  nurse  will 
receive  from  the  ward  surgeon  all  orders  relating  to  the  care  and 
treatment  of  the  patients  in  her  ward  and  will  record  them  for  the 
guidance  of  both  day  nurses  and  night  nurses.  She  will  be  respon- 
sible for  the  proper  nursing  of  the  patients  and  the  proper  serving  of 
all  food  in  the  ward.  She  will  be  responsible  to  the  chief  nurse  for 
the  conduct  and  work  of  the  ward  nurses  and  will  advise  the  chief 
nurse  concerning  their  efficiency.  Her  hours  of  duty  will  be  the  same 
as  those  of  other  nurses,  but  ordinarily  she  will  be  required  to  perform 
night  duty  only  one  month  in  six. 

314.  Nurses. — The  duties  of  Army  nurses  will  be  such  as  are 
usually  performed  by  trained  nurses  in  civil  hospitals  of  like  general 
character.  So  far  as  practicable,  their  hours  of  duty  will  not  exceed 
eight  a  day.  They  will  not  be  required,  except  under  the  stress  of 
emergency,  to  serve  more  than  one  month  in  three  on  night  duty. 

(a)  Day  nurses  will  be  at  all  times  responsible  for  the  proper 
service  of  the  ward  to  the  head  nurse  of  the  ward. 

(6)  Night  nurses  will  be  responsible  during  the  night  to  the  super- 
vising night  nurse,  if  there  is  one.  If  there  is  no  supervising  night 
nurse,  they  will  be  directly  responsible  to  their  respective  head  nurses 
for  the  night  service  of  the  wards.  In  either  event  the  niglit  nurses 
on  being  relieved  by  the  day  nurses  will  make  wi'itten  reports  of 
their  work  to  their  respective  head  nurses. 

315.  If  the  hospital  is  large  enough  to  require  it,  one  or  more  nurses 
may  be  assigned  to  duty  as  assistants  to  the  chief  nurse,  but  they 
shall  receive  no  additional  compensation  therefor. 

CONSUT.TING    BOARD. 

316.  The  commanding  officer  will  detail  a  board  of  tlu'ce  medical 
officers  to  which  will  be  referred  all  cases  deemed  by  the  ward  sur- 
geon and  the  chief  of  his  service  proper  cases  for  consultation. 

A.RMY  AND   NAVY   GENERAL  HOSPITAL,    HOT    SPRINGS, 

ARK. 

317.  This  hospital,  under  tlie  law  establishing  it  (act  June  30,  1882, 
22  Stats.,  121),  is  "subject  to  such  rules,  regulations,  and  restrictions 
as  shall  be  provided  by  the  President  of  the  United  vStates."  The 
regulations  made  by  the  Presitlent,  promulgated  from  time  to  time 
in  general  orders,  are  indicated  in  the  following  paragraphs  under 
this  heading. 


HOSPITALS   AND    MEDICAL   ATTENDANCE.  107 

ORGANIZATION    AND    ADMINISTRATION. 

318.  The  organization  of  the  hospital  shall  consist  of  one  medical 
officer  of  the  Army,  who  shall  command  it,  and  such  other  medical 
officers  of  the  Army  and  Navy  as  may  be  necessary,  to  be  detailed  by 
the  Secretary  of  War  or  the  Secretary  of  the  Navy,  respectively; 
one  officer  of  the  Quartermaster  Corps  or  of  the  line  of  the  Army 
as  an  acting  assistant  quarteniiaster,  detailed  by  the  Secretary  of 
War;  such  noncommissioned  officers  and  men  of  the  Hospital  Corps 
as  may  be  authorized  by  the  Secretary  of  War;  and  such  civil  em- 
ployees as  may  be  necessary  for  the  proper  service  of  the  hospital. 
(Executive  order  of  Aug,  25,  1892,  G.  O.  60,  1892.) 

(a)  The  duties  of  the  medical  officers  and  of  the  detachment  of  the 
Hospital  Corps  shall  be  those  prescribed  by  the  regulations  and 
general  orders  affecting  the  Army.     (Ibid.) 

(6)  The  duties  of  the  officer  acting  as  a  quartermaster  shall  be 
such  as  pertain  to  the  Quartermaster  Corps  as  prescribed  by  the 
regulations  and  orders  of  the  Army,  as  well  as  such  duties  as  may  be 
ordered  in  connection  with  this  particular  service.     (Ibid.) 

(c)  The  civil  employees  shall  be  appointed  by  the  commanding 
officer,  having  in  view  their  fitness  for  the  service  requu-ed.  They 
shall  be  governed  by  such  rules  as  may  be  promulgated  for  the  service 
of  the  hospital,  and  they  may  be  discharged  by  the  appointing  officer 
for  unfitness  or  when  their  services  become  unnecessary.     (Ibid.) 

DISEASES. 

319.  This  hospital  is  devoted  to  the  treatment  of  such  diseases 
as  the  waters  of  Hot  Springs  have  an  established  reputation  in  bene- 
fiting. (Executive  order  of  Aug.  25,  1892,  supra;  also  incorporated 
in  Army  Regulations.) 

(a)  Relief  may  reasonably  be  expected  at  the  Hot  Springs  in  the 
following  conditions:  In  the  various  forms  of  gout  and  rheumatism, 
after  the  acute  or  inflammatory  stage;  neuralgia,  especially  when 
depending  upon  gout,  rheumatism,  or  metallic  or  malarial  poisoning; 
paralysis  not  of  central  origin;  the  earlier  stages  of  locomotor  ataxia; 
chronic  Bright's  disease  (the  early  stages  only) ;  functional  diseases  of 
the  liver;  chronic  skin  diseases,  especially  the  squamous  varieties; 
and  chronic  conditions  due  to  malarial  infection. 

(b)  Admissions  to  this  hospital  of  all  such  cases  regardless  of  their 
severity  is  not,  however,  contemplated.  Its  facilities  will  not  be 
extended  to  mild  and  transient  cases  which  should  yield  to  ordinary 
treatment,  but  are  reserved  for  those  of  a  serious  and  obstinate  char- 
acter which,  though  resisting  ordinary  methods  of  relief,  promise  a 
rapid  and  permanent  recovery  from  the  use  of  the  waters  of  the 
springs. 


108  MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 

ADMISSIONS    AND   DISPOSITIONS. 

320.  The  authorized  classes  of  patients  are  designated  in  Army 
Regulations,  based  on  the  Executive  order  of  August  25,  1892,  supra, 
and  Executive  onh^rs  amendatory  thereof  dated  May  4,  1893,  and 
May  1,  1897,  pubhshed  respectively  in  General  Orders  No.  40,  1893, 
and  26,  1897. 

(a)  Admission  to  the  hospital  for  treatment  from  the  classes 
authorized  shall  be  subject  to  such  rules  as  may  be  prescribed  by  the 
War,  the  Navy,  or  the  Treasury  Departments,  respectively.  (Execu- 
tive order,  Aug.  25,  1892.) 

321.  The  admission  of  officers  and  enlisted  men  of  the  Army  on  the 
active  list  and  of  officers  of  the  Army  on  the  retired  list  is  governed  by 
the  provisions  of  Army  Regulations. 

322.  Retired  officers  of  the  Army  under  treatment  may  leave  the 
hospital  at  their  discretion.  They  will  not  remain  in  the  hospital 
longer  than  three  months  without  special  permission  from  the  War 
Department.  When  such  special  permission  is  desired,  the  com- 
manding officer  of  the  hospital  wiU,  not  later  than  two  weeks  before 
the  end  of  the  three  months,  report  to  Tlie  Adjutant  General  of  the 
Army  the  patient's  condition. 

323.  Enlisted  men  of  the  Army  on  the  retired  list  will  be  admitted 
only  upon  permits  issued  by  the  Surgeon  General,  who  wiU  furnish 
applicants  with  the  necessary  blank  forms  of  application.  They  may 
leave  the  hospital  at  their  discretion.  They  may  be  dismissed  from 
the  hospital  at  the  discretion  of  the  commandmg  officer. 

324.  Permits  for  the  admission  of  officers  and  enlisted  men  of  the 
Army  on  the  retired  lists  will  not  be  valid  after  21  days  from  their 
date. 

325.  Officers  and  enlisted  men  of  the  Navy,  are  admitted  under 
regulations  prescribed. by  the  Secretary  of  the  Navy. 

326.  Officers  of  the  Coast  Guard  and  of  the  Public  Health  Service 
are  admitted  on  the  request  of  the  Secretary  of  the  Ti'easury  to  the 
Secretary  of  War,  and  upon  the  recommendatit)n  of  the  Surgeon  Gen- 
eral of  the  Army. 

327.  Permits  for  the  admission  of  honorably  discharged  soldiers 
and  sailors  of  the  Army  and  Navy  may  be  issued,  when  there  are 
vacant  beds,  by  tlie  Surgeon  General  of  the  Army,  from  whom  blank 
forms  of  application  can  be  obtained.  Tiiese  must  be  properly  filled 
in,  giving  all  necessary  information  in  relation  to  the  applicant,  and 
should  be  c<Ttific(l  to  by  a  practicing  })hysician,  who  should  state  the 
nature  of  tlie  disal)ility  and  th(>  ])rol)able  period  required  for  hospital 
treatment.  These  permits  will  not  be  valid  after  21  days  from  their 
date.     Patients  admitted  under  this  autliority  may  bo  discharged 


HOSPITALS  AND   MEDICAL  ATTENDANCE.  109 

from  the  hospital  by  the  commanding  officer  at  any  time  he  may  deem 
proper.  Expenses  to  and  from  the  hospital  must  be  defrayed  by  the 
appUcant. 

SUBSISTENCE. 

328.  The  rations  of  enUsted  men  on  the  active  hst  on  duty  or  under 
treatment,  and  of  members  of  the  Nurse  Corps  on  duty,  at  this 
hospital,  are  commuted  as  prescribed  in  Army  Regulations. 

329.  Enhstcd  men  on  the  retired  list  and  honorably  discharged 
soldiers  and  sailors  pay  for  their  subsistence  at  rates  fixed  in  Army 
Regulations. 

330.  Such  officers  as  may  be  under  treatment  when  subsisted  in  the 
hospital  shall  be  subject  to  a  charge  for  subsistence  not  to  exceed 
$1.50  a  day,  to  be  paid  to  the  senior  medical  officer  on  the  last  day  of 
each  month  or  upon  leaving  the  hospital.  (Executive  order,  Aug. 
25,  1892.) 

(a)  ^lihtary  or  naval  cadets  shall  in  like  manner  pay  a  subsistence 
charge  not  to  exceed  $1  a  day.  Such  cadets  wliile  patients  may  have 
the  privilege  of  the  officers'  mess,  at  the  discretion  of  the  offi(?er  m 
command.     (Ibid.,  as  amended  by  G.  O.  5,  1894.) 

(b)  Should  an  officer  or  cadet  die  in  the  hospital,  or  should  he  from 
any  cause  fail  to  pay  any  account  for  subsistence  when  due,  this  shall 
be  immediately  reported  by  the  senior  medical  officer  to  the  Surgeon 
General  of  the  Army,  who  shall  certify  the  fact  to  the  Quartermaster 
General  of  the  Army,  to  the  Sm-geon  General  of  the  Navy,  or  to  the 
Secretary  of  the  Treasury,  as  the  case  may  be,  and  the  proper  officers 
of  the  War,  Navy,  or  Treasury  Departments  shall  take  such  steps  as 
will  promptly  secure  to  the  hospital  payment  of  the  amounts  due. 
(Executive  order,  Aug.  25,  1892.) 

331.  The  senior  medical  officer  shall  account  monthly  to  the  Sur- 
geon General  of  the  Army  for  all  money  received  or  expended  on 
account  of  officers  and  enUsted  men.     (Ibid.) 

332.  Subsistence  stores  for  use  in  the  officers'  and  enhsted  men's 
messes  may  be  purchased  by  the  officer  in  command  of  the  hospital 
from  such  officers  of  the  Quartermaster  Corps  as  the  Quartermaster 
General  may  designate.     (Ibid.) 

DISCIPLINE    OF    PATIENTS.. 

333.  The  act  of  March  3,  1909  (35  Stats.,  748;  G.  O.  49  of  1909, 
p.  26),  provides  that: 

All  persons  admitted  to  treatment  in  the  Army  and  Navy  General  Hospital  at  Hot 
Springs,  Ark.,  shall,  while  patients  in  said  hospital,  be  subject  to  the  rules  and  articles 
for  the  government  of  the  armies  of  the  United  States. 


110  MANUAL   FOR  THE    MEDICAL  DEPARTMENT. 

GENERAL  HOSPITAL,  FORT  BAYARD,  N.  MEX. 

ADMISSIONS. 

334.  Under  the  provisions  of  Army  Regulations  the  general  hos- 
pital at  Fort  Bayard,  N.  Mex.,  has  been  set  apart  as  a  sanatorium 
for  the  treatment  of  officers  and  enlisted  men  of  the  Army  who 
are  suffering  from  pulmonary  tuberculosis.  Cases  of  tuberculous 
laryngitis  are  to  be  classed  with  pulmonary  tuberculosis  and  should 
be  sent  to  Fort  Bayard  even  though,  as  rarely  happens,  there  is  no 
unmistakable  evidence  that  the  lungs  are  also  involved.  Cases  of 
acute  pleurisy  with  effusion  will  not  be  sent  to  Fort  Bayard  unless 
there  is  likewise  tuberculous  involvement  of  the  lungs  or  unless  the 
tuberculous  nature  of  the  pleural  disease  is  determined  by  other  facts 
than  the  mere  existence  of  an  effusion.  Cases  of  surgical  tuberculosis 
which  are  believed  to  require  operative  treatment  should  not  be 
sent  to  Fort  Bayard  with  a  view  to  operation.  In  general,  no  cases 
of  surgical  tuberculosis  should  be  sent  to  Fort  Bayard  miless  the 
condition  of  the  patient  is  such  that  benefit  may  be  expected  from 
hygienic  treatment  in  which  outdoor  life  plays  a  prominent  part,  or, 
in  other  words,  unless  the  patient  is  not  strictly  confined  to  his  bed 
by  the  nature  of  his  disease.  Cases  of  tuberculosis  not  involving 
the  respiratory  tract  will  not  be  sent  to  Fort  Bayard  without  specific 
authority  from  the  War  Department,  for  which  authority  application 
will  be  made  to  The  Adjutant  General  of  the  Army,  the  apphcation 
to  be  accompanied  in  every  case  by  a  fuU  medical  report. 

(a)  The  provision  of  Army  Regulations  as  to  the  responsibility  of 
the  surgeon  for  the  transfer  of  tuberculous  cases  to  Fort  Bayard 
should  not  be  misunderstood  by  medical  ofhcers.  The  mtent  of  this 
provision  is  to  secure  promptitude  in  making  the  diagnosis  and  in 
transferring  early  cases  of  pulmonary  tuberculosis ;  it  is  not  the  intent 
of  the  provision  to  direct  the  transfer  of  cases  of  pulmonary  tubercu- 
losis irrespective  of  their  physical  condition. 

(b)  Pulmonary  tuberculosis  is  a  chronic  disease  attended  by  acute 
exacerbations,  in  one  of  which  its  existence  is  usually  detected. 
The  exacerbations  are,  as  a  rule,  attended  by  an  extension  of  the 
tuberculous  involvement.  If  the  exacerbation  is  shght,  or  if  the 
course  of  the  disease  is  of  a  chronic  nature,  there  may  be  no  fever 
or  but  little  fever,  and  the  patient  may  be  able  to  travel  without 
injury.  If,  however,  there  is  a  well-marked  fever  with  other  signs 
of  constitutional  disturbance,  it  is  of  vital  importance  that  the 
patient  be  required  to  rest  until  his  temperature  drops  and  the 
activity  of  the  pulmonary  disease  lessens  or  disappears.  When  such 
evidence  of  improvement  is  apparent  the  patient  may  be  subjected 
to  the  fatigue  of  a  railroad  journey  without  probability  of  serious 
harm.     On  the  other  hand,  when  the  disease  is  too  far  advanced  to 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  Ill 

permit  such  abatement  of  severity  there  arc  two  alternatives — the 
progress  toward  death  msij  be  continuous  and  rapid  or  a  chronic 
febrile  movement  may  continue  indefinitely.  In  the  former  case 
it  is  useless  to  send  the  patient  to  Fort  Bayard ;  in  the  latter  opportu- 
nity to  receive  the  treatment  at  that  hospital  should  be  given  the 
patient,  and  he  should  be  sent  there  if  he  is  believed  to  have  sufficient 
strength  to  endure  the  journey.  In  the  case  of  a  disease  that  presents 
such  a  variety  of  manifestations  it  is  impossible  to  give  general  instruc- 
tions that  will  always  be  fully  applicable  to  the  individual  patient. 
If  there  is  doubt  as  to  the  course  that  should  be  pursued,  report  of 
the  case  should  be  made  to  the  Surgeon  General  and  instructions 
requested. 

(c)  Since  the  administration  of  tuberculin  by  hypodermic  injection 
may  be  attended  by  grave  dangers  to  the  patient,  except  in  the  hands 
of  those  specially  skilled  in  diagnosis,  tubercufin  will  be  used  in  this 
rdanner  in  the  diagnosis  or  treatment  of  tuberculosis  only  with  due 
care  and  precaution.  The  use  of  tuberculm  to  obtain  the  ophthahno 
reaction,  being  not  without  danger  to  the  eyes  of  patients,  is  for- 
bidden. 

(d)  The  cutaneous  or  Von  Pirquet  reaction  gives  positive  results  in 
cases  of  inactive  tuberculosis.  No  patient  will  therefore  be  sent  to 
Fort  Bayard,  nor  will  the  diagnosis  of  pulmonary  tuberculosis  be  re- 
ported, unless  physical  signs  are  present  which  estabfish  the  diagnosis. 

335.  Patients  wiU  be  admitted  to  this  hospital  in  the  following 
order:  Officers  and  enhsted  men  of  the  Army  on  the  active  Hst; 
officers  and  enhsted  men  of  the  Army  who  may  be  retired  or  dis- 
charged while  under  treatment  at  this  hospital;  beneficiaries  of  the 
United  States  Soldiers'  Home;  ofiicers  and  enlisted  men  on  the 
retired  hst;  officers  and  enlisted  men  of  the  Navy  upon  special 
authority  from  the  Secretary  of  War,  and  such  others  as  may  have 
such  authority  or  that  of  the  Surgeon  General  of  the  Army. 

(a)  The  treatment  of  officers  and  men  of  the  Navy  and  Marine 
Corps  is  specially  directed  by  the  act  of  March  2,  1907  (34  Stats., 
1172). 

336.  The  transfer  of  officers  and  enhsted  men  of  the  Army  on  the 
active  hst  for  treatment  at  Fort  Bayard  is  governed  by  the  express 
provisions  of  Ai-my  Regulations. 

337.  The  Surgeon  General  of  the  Ai'my  is  authorized  to  provide  for 
the  care  and  treatment  of  discharged  soldiers  entitled  to  the  benefits 
of  the  United  States  Soldiers'  Home,  Washington,  D.  C,  whose 
admission  to  the  sanatorium  may  be  approved  by  the  board  of 
commissioners  of  the  home. 

338.  Officers  and  enhsted  men  on  the  retired  hst  of  the  Army 
desiring  admission  to  this  hospital  may  make  direct  application, 
accompanied  by  a  medical  certificate,  to  The  Adjutant  General  of  the 
Army  for  the  necessary  permission. 


112  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

HOSPITAL    CHARGES. 

339.  Officers  under  treatment  when  subsisted  in  the  hospital  will 
be  subject  to  a  charge  for  subsistence  not  to  exceed  $1.50  per  day. 

340.  The  expenses  of  maintenance  of  patients  from  the  Soldiers' 
Home  are  paid  by  the  board  of  commissioners  of  the  home  from  the 
Soldiei-s'  Home  fund. 

341.  The  charge  for  the  subsistence  of  patients  admitted  by  special 
authority  of  the  Secretary  of  War  or  the  Surgeon  General,  including 
Navy  and  Marme  Corps  patients,  will  be,  if  on  the  footing  of  officers, 
$1.50  per  day,  and  if  on  the  footing  of  enhsted  men,  $5  per  week. 

(a)  The  subsistence  charge  in  the  case  of  retired  officers,  retired 
erdisted  men,  and  civilian  employees  admitted  under  the  authority 
of  Army  Regulations,  will  be  $1.50  per  day  if  on  the  footing  of  officers, 
and  50  cents  per  day  if  on  the  footing  of  enhsted  men. 

342.  The  commanding  officer  is  authorized  to  charge  civdians  qn 
the  footmg  of  officers  a  moderate  sum,  proportionate  to  their  means, 
for  attendance  and  nursing.  This  charge  will  not  be  more  than  $1 
a  day,  and  may  be  remitted  in  the  discretion  of  the  commanding 
officer. 

343.  All  moneys  received  under  paragraphs  339,  340,  341,  and  342 
will  be  taken  up  on  the  hospital  fund  account. 

DISCIPLINE    OF    PATIENTS. 

344.  The  act  of  June  12,  1906  (34  Stats.,  255),  provides  that: 

All  persons  admitted  to  treatment  in  the  general  hospital  at  Fort  Bayard,  X.  Mex., 
shall,  while  patients  in  said  hospital,  be  subject  to  the  rules  and  articles  for  the  gov- 
ernment of  the  armies  of  the  United  States. 

MEDICAL    ATTENDANCE. 

(See  Army  Regulations.) 
FAMILIES    OF    OFFICERS    AND    MEN,    DEFINITION. 

345.  For  purposes  of  medical  attendance  under  Army  Regulations, 
the  family  of  an  ofhccr  or  enlisted  man  will  be  understood  to  include 
his  wife,  minor  children,  and  other  dependent  members  of  his  house- 
hold, mcluding  servants. 

EMPLOYEES   OF   POST   EXCHANGES. 

346.  Civilians  employed  in  post  exchanges  are  entitled  to  the  same 
medical  and  hospital  attendance  and  the  same  privilege  of  purchasing 
medicines  allowed  employees  paid  from  public  funds. 

PRIVATE    PRACTICE    OF    MEDICAL    OFFICERS. 

347.  If  citizens  residing  in  the  neighborhood  of  a  military  post 
desire  the  professional  attendance  of  an  army  medical  officer,  it  is 
regarded  as  not  inconsistent  with  the  requirements  of  the  regulations 


HOSPITALS   AND   MEDICAL   ATTENDANCE.  113 

governing  the  Army  for  such  officer  to  render  his  services,  when  tliis 
does  not  interfere  with  the  proper  performance  of  his  official  duties. 
But  the  estabhshment  of  an  office  outside  of  the  Umits  of  a  military 
post  for  the  purpose  of  engaging  in  civil  practice  is  prohibited. 

CIVILIAN    PHYSICIANS    PRACTICING    ON    MILITARY    RESERVATIONS. 

348.  A  civilian  physician  desiring  to  practice  medicine  on  a  mih- 
tary  reservation  must  register  his  name  with  the  post  commander 
and  must  agree,  in  writing,  to  observe  the  rules  and  regulations  rela- 
tive to  the  protection  of  the  command  against  infectious  or  epidemic 
diseases  that  may  be  in  force  at  that  time  or  that  may  be  promul- 
gated thereafter.     (See  Appendix:  Civilian  Physicians.) 

349.  Existmg  orders  require  that  whenever  a  civihan  physician  is 
sumuioned  to  take  charge  of  a  case  of  disease  of  an  officer  or  an  en- 
listed man  at  any  garrisoned  post  or  in  the  f  amihes  of  officers,  enhsted 
men,  or  civiUan  employees  thereat,  the  patient  or  responsible  person 
will  at  the  same  time  inform  the  commanding  officer,  who  will  notify 
the  surgeon. 

(a)  It  will  thereupon  be  the  duty  of  the  surgeon  to  ascertain,  if 
possible  from  the  attendmg  physician  or  by  personal  examination  of 
the  patient  if  deemed  necessary,  the  nature  of  the  disease  and,  if  it 
proves  to  be  infectious  and  a  source  of  danger  to  the  garrison,  he  wiU 
retain  supervision  of  the  case  and  be  responsible  for  all  measures  of 
isolation,  prevention,  and  disinfection.  If  an  officer  or  enhsted 
man  be  the  patient,  it  wiU  be  the  duty  of  the  surgeon  in  any  case  to 
report  the  nature  of  the  disease  to  the  post  commander  in  order  that 
the  latter  may,  if  the  interests  of  the  service  demand  it,  require  the 
patient  to  be  placed  imder  charge  of  the  surgeon. 

OFFICERS    SICK    IN    QUARTERS. 

360.  Officers  sick  in  quarters  wiU,  if  able  to  do  so,  report  at  least 
once  each  day  to  the  surgeon  at  the  hospital  for  examination  and 
treatment.  If  unable  to  leave  their  quarters  the  surgeon  will  visit 
them  there  at  least  once  each  day. 

93440°— 17 8 


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y.- 

ARTICLE  v.— DEPARTMENT  LABORATORIES. 

- !  i !  I  f  i 

351.  Department  laboratories  are  maintained  for  the  purpose  of 
making  sucli  examinations  as  can  not  well  bo  made  at  the  smaller 
laboratories  of  post  hospitals.  Sm-geons  may,  unless  otherwise 
instructed,  send  specimens  for  examination  to  the  nearest  depart- 
ment laboratory,  makmg  appropriate  explanation  direct  to  the 
officer  in  charge  of  the  laboratory. 

''  SECRETIONS,   EXCRETIONS,   AND  TISwSTJBS. 

352.  In  forwardmg  specimens  to  the  department  laboratories  the 
, following  directions  should  be  observed: 

).  (a)  Blood. — For  agglutination  tests  blood  should  be  sent  in 
Wright's  capsules,  properly  sealed  and  labeled.  For  identification 
of  typhoid  or  paratyphoid  organisms  blood  should  be  collected  in 
vials  of  ox-bile  medium.  Dried  smears  of  blood  should  be  taken  in 
the  usual  way.  Blood  for  the  complement  fixation  tests  should  be 
sent  m  well-filled  Wright's  capsules.  All  requests  for  complement 
fixation  tests  will  be  made  on  Form  55q  or  Form  55r  and  the  first 
request  in  each  case  will  be  accompanied  by  a  Wassermann  card 
(Form  97),  or  a  gonococcus  fixation  card  (Form  99)  as  the  case  may  be. 

(b)  Feces  and  urine. — For  identification  tests  for  suspected  organ- 
isms specimens  of  feces  and  urine  should  be  forwarded  in  small, 
sterile  vials.  In  cases  of  suspected  typhoid  or  paratyphoid  fever 
additional  specimens  should  be  sent  in  vials  of  ox-bil©  medium. 
Feces  for  examination  for  ova  should  be  mixed  with  an  equal  volume 
of  10  per  cent  solution  of  formahn  and  shipped  in  sealed  vials. 

(c)  Spinal  fluid.— For  bacteriological  or  serological  exammations 
several  cubic  centimeters  of  fluid  should  be  collected  aseptically  and 
sent  in  sterile,  well-sealed  glass  containers.  Cytological  examina- 
tions must  be  mad©  with  fresh  fluid  at  the  place  of  collection. 

(d)  Sputum,  pus,  or  other  exudate. — Specimens  should  be  collected 
aseptically  in  sterile  containers  and  sealed  with  wax  or  paraffin. 

(e)  Stomach  contents.— The  gastric  contents  are  preferably  ob- 
tamed  one  hour  after  an  Ewald  test  breakfast,  freed  from  gross 
particles  by  straining  or  filtration,  placed  in  clean  bottles  and  shipped 
to  the  laboratory  with  the  least  practicable  delay. 

114 


DEPARTMENT  LABORATORIES.  115 

(/")  Solid  tissues. — Tissues  for  histo-pathological  examination 
should  be  fixed  and  forwarded  in  10  per  cent  formalin  or  in  70  per 
cent  alcohol,  in  sealed  glass  containers.  A  short  clinical  history- 
should  accompany  each  specimen.  For  the  identification  of  ncgri 
bodies  small  smears  should  be  made  by  crusliing  sections  of  gi'ay 
matter,  Ammon's  horn  or  cerebellum,  between  slides.  These  smears 
should  be  fixed  while  moist  m  absolute  methyl  alcohol  and  should  be 
sent  in  80  per  cent  ethyl  alcohol.  The  smears  should  not  be  dried. 
Also  if  possible  masses  of  these  nervous  tissues  should  be  placed  in 
bottles  in  pure  glycerin,  sealed  and  forwarded  for  animal  inoculation. 

363.  Wlien  material  is  sent  for  identification  tests  the  causative 
organism  suspected  should  be  specified  in  each  case. 

354.  Special  media  for  cultivation  of  organisms  may  be  obtained 
direct  from  the  laboratories. 

366.  Special  containers  for  the  collection  and  transmission  of 
material  to  the  laboratories  will  upon  request  be  furnished  by  the 
laboratory  to  which  the  material  is  to  be  sent  for  examination. 

(a)  All  bottles  containing  fluid  material  sent  through  the  mails 
must  be  securely  packed  in  cotton  in  double  containers. 

WATER. 

356.  At  the  time  of  forwarding  the  water  the  officer  to  whom  it  is 
sent  should  be  advised  of  the  followuig  particulars:  (1)  Tlie  date, 
place,  and  mode  of  shipment;  (2)  the  date  and  place  of  the  collection 
of  the  water;  (3)  the  character  of  the  watershed,  its  topography,  and 
the  uses  to  which  the  country  is  put  if  inhabited;  (4)  the  proximity 
of  houses,  barns,  privies,  or  other  possible  sources  of  contamination 
to  the  place  of  collection  or  the  source  of  supply;  (5)  the  proximity 
of  fertihzed  land  to  such  place  or  source,  and  whether  the  said  land 
is  higher  or  lower  than  the  adjacent  land;  and  (6)  such  other  infor- 
mation as  may  suggest  a  possible  deleterious  influence  on  the  purity 
of  the  water.  If  the  water  is  from  a  well  the  letter  should  report  the 
depth  of  the  well,  the  strata  found  in  digguig  or  boring  it,  and  the 
depth  of  the  water  in  the  well. 

357.  The  specimens  should,  when  practicable,  be  collected  by  a 
medical  officer.  If  the  water  to  be  examined  is  deUvered  through 
pipes  or  is  pumped  from  a  well  or  cistern,  the  local  supply  pipe  and 
all  pump  connections  should  be  emptied  by  allowing  the  water  to 
run  for  15  minutes  before  taking  the  samples. 

358.  Bacteriological  examinations. — Samples  of  water  for  bacterio- 
logical examination  should  be  collected  in  bottles  furnished  for  the 
purpose.  Each  bottle  is  sterilized  before  leaving  the  laboratory, 
and  the  glass  stopper  is  protected  by  a  piece  of  heavy  sterilized  muslin 
securely  wired  to  the  neck  of  the  bottle.  The  stopper  should  not  be 
removed  until  immediately  before  the  bottle  is  filled. 


116  MANUAL   FOR   THE   MEDICAL  DEPARTMENT. 

(a)  In  taking  specimens  from  a  faucet  or  pump  (after  emptying  the 
supply  pipes  and  connections  conformably  to  par.  357)  a  small,  gentle 
stream  should  be  allowed  to  flow,  the  stopper  taken  out,  the  bottle 
grasped  near  the  bottom,  held  in  an  upright  position,  and  the  stream 
permitted  to  flow  into  the  bottle  until  it  is  filled  to  the  shoulder.  The 
stopper  should  then  be  replaced;  both  it  and  the  cloth  should  be 
secured  by  carrying  the  wire  several  times  aroimd  the  neck  of  the 
bottle  and  twisting  the  ends  tight.  The  stopper  must  be  handled 
only  by  the  square  cloth-covered  top.  The  lip  of  the  bottle  must  not 
be  brought  in  contact  with  the  faucet  or  spout,  nor  should  the  neck 
of  the  bottle  or  naked  part  of  the  stopper  be  permitted  to  come  in 
contact  with  any  object  during  the  manipulation.  The  projecting 
flange  is  designed  to  protect  the  plug  of  the  stopper,  which  it  will  do 
if  the  stopper,  after  withdrawal,  is  held  by  the  top  in  a  vertical 
position.  The  stopper  should  not  be  laid  down  and  the  cloth  should 
not  be  handled  by  the  fingers  except  in  the  act  of  securing  the  wire 
about  it.  When  well  water  is  to  be  examined  the  bottle  should  be 
filled  directly  from  the  bucket  constantly  in  use  for  drawing  the  water, 
and  from  no  other  vessel. 

(b)  On  account  of  the  labor  involved  and  the  possibility  of  error, 
bacteriological  examinations  of  water  collected  in  any  other  than  the 
prescribed  receptacles  will  not  be  made. 

(c)  Each  package  should  be  plamly  marked  to  show  the  source 
from  which  the  sample  is  taken  and  the  date  of  collection. 

(d)  The  case  should  be  marked,  "Water  for  bacteriological  exami- 
nation," and  it  should  be  forwarded  by  mail  at  the  earliest  moment. 
(vSee  par.  355a.) 

359.  Chemical  examirMtions. — The  quantity  of  water  forwarded  for 
chemical  examination  should  be  not  less  than  3  liters.  The  recep- 
tacles for  transporting  it  should  be  chemically  clean,  and  all  vessels 
used  in  its  collection  should  be  as  clean  as  it  is  possible  to  make  them. 

(a)  Glass-stoppered  bottles  of  suitable  size  are  best  adapted  for  the 
preservation  of  a  sample  of  water  in  its  original  condition.  In 
pouring  the  water  into  bottles  it  should  not  come  into  contact  with 
the  hands  of  the  operator  or  with  anything  not  essential  to  the 
operation.  Bottles  should  be  filled  to  within  an  inch  of  the  stoppers; 
the  stoppers  should  be  carefully  rinsed  and  inserted  and  secm'ed  with 
a  canvas  cover  tied  tightly  around  the  neck  of  the  bottle.  Sealing 
wax  or  similar  material  should  not  be  used  to  secure  the  stoppers.^ 

(b)  If  no  proper  receptacles  are  available  at  the  post  or  camp  suit- 
able bottles  may  be  obtained  upon  application  to  the  officer  to  whom 
the  specimens  are  to  be  sent  for  analysis.  Bottles  so  obtained  should 
when  filled  be  repacked  in  the  box  in  wliich  they  came,  reversing  the 
cover,   which   should   have    the   laboratory   address   thereon.     The 


DBPARTMEITT  LABOBATOSXBB.  117 

package  should  be  tagged  or  labeled  to  show  the  place  and  date  of 
collection. 

(c)  Water  for  chemical  analysis  should  be  shipped,  immediately 
after  its  collection,  by  express.  A  Medical  Department  bill  of  lading 
will  be  made  for  each  such  shipment  and  the  carrier's  signatm'e  taken 
thereto  upon  turning  over  the  package  for  transportation. 

Until  a  special  form  shall  have  been  provided  therefor  Form  153, 
Q.  M.  C,  may  be  adapted  to  the  purpose  by  altering  the  symbol 
"W.  Q."  in  the  upper  right-hand  comer  to  read  "W.  Medical," 
followed  by  the  number  of  the  bill.  The  consignor  should  in  every 
case  fill  out  the  instructions  for  billing  at  the  foot  of  the  bill  of  lading, 
specifying  therein  that  the  freight  charges  are  to  be  vouched  to  the 
Surgeon  General,  Washmgton,  D.  C,  and  should  immediately  mail 
the  bill  to  the  consignee,  who  will  upon  receipt  of  the  articles  accom- 
plish the  bill  and  surrender  it  to  the  carrier.  The  consignor  should  at 
the  time  of  shipment  furnish  the  carrier  with  a  shipping  order  (Form 
156,  Q.  M.  C),  and  mail  a  memorandum  of  the  bill  of  lading  (Form 
154,  Q.  M.  C),  to  the  Surgeon  General,  with  information  as  to  the 
purpose  of  the  shipment  unless  the  same  is  clearly  revealed  by  entries 
on  the  bill. 

360.  Upon  completion  of  an  examination  of  water  (chemical  or 
bacteriological)  the  officer  making  it  wiU  report  the  results  thereof  to 
the  officer  who  asked  for  it,  and  will  at  the  same  time  furnish  a  copy 
of  such  report  direct  to  the  Surgeon  General,  with  a  copy  of  the  letter 
called  for  by  paragraph  356. 


ARTICLE  VI.— DUTIES  OF  MEDICAL  OFFICERS. 


GENERAL. 


361.  Certain  responsibilities  and  duties  in  addition  to  those 
incident  to  the  practice  of  medicme  devolve  upon  a  medical  officer 
by  virtue  of  his  commission  as  an  officer  of  the  Army.  These 
responsibilities  and  duties  may  be  grouped  under  two  general  heads: 
(1)  Advisory;  (2)  administrative.  The  former  includes  the  duties 
of  the  staff  officer  to  his  commander,  the  latter  the  duties  of  an 
organization  or  detachment  commander  to  his  superiors  and  to  the 
detachment  or  organization  which  he  commands.  For  example,  the 
duties  of  sanitary  inspectors  are  advisory;  those  of  the  commanding 
officers  of  general  hospitals  are  admmistrative;  while  the  duties  of  post 
surgeons  are  both  advisory  and  admmistrative. 

362.  The  duties  of  a  medical  officer  acting  in  an  advisory  capacity 
are,  in  general,  as  follows: 

(1)  To  keep  himself  informed  of  existing  conditions  and,  especially 
in  the  case  of  a  moving  command,  of  conditions  that  may  be  antici- 
pated, which  have  a  bearing  upon  the  health  and  physical  efficiency 
of  the  command. 

(2)  Tp  communicate  to  his  commander  such  of  this  information  as 
has  a  bearing  upon  military  administration  and  to  recommend  such 
measures  as  the  surgeon  deems  advisable  to  meet  the  existing  or 
anticipated  conditions.  The  scope  of  the  information  required,  and 
of  the  field  which  recommendations  must  cover,  varies  greatly.  It 
includes  the  training  of  the  command  in  matters  of  personal  hygiene 
and  military  sanitation;  the  provision  of  facilities  for  maintaining 
good  sanitary  conditions;  and,  in  so  far  as  they  have  a  bearing  upon 
the  physical  condition  of  the  troops,  the  equipment  of  individuals 
and  organizations,  the  condition  of  buildings  or  other  shelter  occupied 
by  troops,  the  character  and  preparation  of  food,  the  suitability  of 
clothing,  the  disposal  of  waste,  and  the  disposition  of  the  sick  and 
wounded  including  action  on  requests  for  leave  or  furlough  on 
account  of  sickness. 

(3)  To  make  prescribed  reports  and  returns  and  to  take  such 
action  on  the  reports  and  returns  of  his  subordinates  as  may  be 
required  by  existing  regulations. 

118 


DUTIES    OF    MEDICAL    OFFICERS.  119 

(4)  To  perform  such  other  duties  as  may  be  required  of  him  by 
superior  authority.  .  ^ i ir  : j c i ;   l'I j ^ 

(a)  While  medical  officers  acting  as  teclmical  advisdi^ '  of  ^  ^Heir 
commanders  are  responsible  for  pointing  out  unsanitary  conditions 
and  making  proper  recommendations  for  their  correction,  the  direct' 
responsibility  rests  with  the  commander.  If,  however,  the  com-' 
mander  authorizes  the  medical  officer  to  give  orders  in  his  name  for 
the  correction  of  defects,  then  the  duties  and  responsibilities  of  thJ3 
latter  are  correspondingly  mcreased.  ^' 

363.  Medical  officers   acting  in   an   administrative  capacity   are 
directly  responsible  for  the  condition  and  efficiency  of  their  com-^ 
mands.     Their  duties  are  similar  in  character  to  those  of  adminis-' 
trative  officers  of  the  line  of  the  Army.     More  specifically  they  are 
charged  with  the  following: 

(a)  The  training,  discipline,  efficiency,  and  assignment  to  duty  of 
the  personnel  which  they  command  and  the  supervision  of  the  inter--' 
nal  economy  of  their  organizations. 

(b)  The  maintenance  of  equipment  in  proper  condition  by  requi- 
sition for  supplies  needed  and  by  proper  care  of  property  on  hand. 

(c)  The  keeping  of  the  prescribed  records  and  the  making  of  the 
prescribed  reports  and  returns.  .  i 

(d)  The  performance  of  such  other  duties  as  may  be  required  of 
them  by  superior  authority. 

DEPARTMENT    SURGEONS. 

364.  A  department  surgeon  is  chiefly  an  advisory  officer;  but  in 
certain  matters  pertaining  exclusively  to  the  activities  of  the  sanitary 
service  within  his  department  he  acts  in  an  admmistrative  capacity.  • 
His  general  duties  under  these  two  heads  are  given  in  paragraphs 
361,  362,  and  363. 

365.  In  time  of  peace  the  special  duties  of  a  department  surgeon 

(a)  To  report  on  the  efficiency  of  each  medical  officer  serving  in 
thp  department. 

(b)  To  authorize  enlistments  in  the  Hospital  Corps.  '    ^j 

(c)  To  recommend  transfers  to  the  Hospital  Corps  from  the  line. 

(d)  To  supervise  the  examination  of  corporals,  privates  first  class, 
and  privates  of  the  Hospital  Corps  for  appointment    as   sergeant.. 
therein. 

(e)  To  promote  members  of  the  Hospital  Corps  to  the  grade  of  , 
private  first  class,  lance  corporal,  and  corporal  therein. 

(/)  To  recommend  the  transfer  of  members  of  the  Hospital  Corps 
from  post  to  post. 

{g)  To  supervise  the  instruction  of  the  Hospital  Corps. 


120  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

(A)  To  recommend  appropriate  action  on  estimates  for  the  con- 
struction and  repair  of  hospitals,  of  quarters  for  sergeants  first  class, 
Hospital  Corps,  and  of  other  buildings  of  the  Medical  Department. 

(i)  To  examine  requisitions  for  medical  and  hospital  supplies  and 
to  take  appropriate  action  thereon  as  indicated  hereinafter  in  the 
article  on  supplies, 

.,  ij)  To  give  authority  under  Army  Regulations  for  the  presenta- 
tion of  unserviceable  medical  property  to  an  inspector  for  condem- 
nation. 

f]c)  To  recommend  appropriate  disposition  of  condemned  medical 
property  on  inventory  and  inspection  reports  referred  to  him  for 
remark. 

(I)  To  supervise  the  distribution  of  field  medical  supplies  within 
his  department  in  conformity  with  paragraphs  504  to  506. 

(m)  To  act  on  accounts  for  supplies  purchased  for,  or  services 
rendered  to,  the  Medical  Department. 

(n)  To  act  on  accounts  of  civilians  for  the  medical  care  and  treat- 
ment of  persons  entitled  thereto  at  the  expense  of  the  United  States. 

(o)  To  examine  and  audit  the  statements  of  \h.e  hospital  fund,  to 
which  end  he  should  verify  the  vouchers  therewith  and  ascertain  the 
propriety  of  the  expenditures  vouched  for. 

366.  In  time  of  war  or  when  war  is  imminent  department  surgeons 
are  charged,  in  addition  to  the  duties  prescribed  for  time  of  peace, 
with  the  supervision  of  the  sanitary  service  in  connection  with  the 
mobilization  of  the  Organized  Militia,  or  volunteer  forces,  within 
departmental  limits.     (See  par.  594.) 

367.  Wlienever  he  deems  it  necessary  the  department  surgeon 
should  request  an  order  for  the  department  sanitary  inspector  to 
inspect  the  posts  in  his  department. 

368 .  So  far  as  he  has  authority  each  department  surgeon  will  take 
final  action  on  all  letters,  papers,  reports,  and  returns  referred  to  or 
received  by  him;  he  should  not  forward  them  unless  they  require 
action  by  higher  authority. 

(a)  He  should  list  the  reports  and  returns  periodically  required 
from  medical  officers  under  his  supervision,  should  check  them  off 
as  they  are  received,  and  note  their  disposition  as  they  are  dis- 
posed of. 

(b)  Reports  and  papers  en  route  to  higher  authority  which  call 
for  no  special  action  at  his  hand,  including  personal  reports  of  med- 
ical officers,  reports  of  sick  and  wounded,  and  returns  of  the  Hospital 
Corps,  need  not  be  formally  indorsed;  but  they  should  receive  his 
office  stamp  before  transmittal. 

(c)  An  appropriate  correspondence  record  should  be  made  of  the 
action  taken  by  him  on  all  papers  r<Hiuiring  special  action. 


DUTIES  OF  MEDICAL  OPFIOERS.  121 

369.  The  department  surgeon  will  keep  and  turn  over  to  his  suc- 
cessor a  record  of  correspondence  and  document  file  conformably  to 
existing  orders  (see  Appendix:  Records  and  CorrespoTidence) ;  also 
complete  files  of  orders  and  circulars  and  of  all  reports  and  returns 
upon  which  he  takes  final  action.     (See  par.  402.) 

(a)  For  ready  reference  he  will  also  keep  in  his  office,  on  Form  70,  a 
directory  of  the  medical  personnel  under  his  supervision. 

370.  Within  one  month  after  the  end  of  every  calendar  year  the 
department  surgeon  will  mail  direct  to  the  Surgeon  General  a  report 
setting  forth  in  general  terms  all  matters  of  professional  interest 
arising  in  the  department  during  the  year,  and  particularly  such  as 
will  enable  the  Surgeon  General  in  preparing  his  annual  report  to  the 
Secretary  of  War  to  make  proper  comparisons  of  the  several  military 
posts  in  respect  to  their  health  and  sanitary  condition.  The  report 
will  include,  first,  a  discussion  of  the  sickness  and  mortality  of  troops 
serving  in  the  department,  as  a  whole  and  by  posts,  noting  the  char- 
acter and  causes  of  prevailing  diseases,  their  relative  prevalence  at 
different  posts,  their  connection  with  insanitary  conditions,  if  any, 
and  the  measures  taken  for  their  prevention;  second,  a  discussion 
of  the  sanitation  of  each  post  in  the  department,  noting  under 
this  head  any  important  changes  in  sanitary  conditions  durmg  the 
year,  and  commenting  upon  the  sanitary  defects  observed  at  annual 
inspections  or  reported  in  the  post  sanitary  reports,  with  appropriate 
remarks  concerning  the  recommendations  made  and  the  action  taken 
for  the  correction  of  the  same  (see  par.  420);  and  third,  a  discussion 
of  the  efficiency  of  the  sanitary  troops  in  his  department  in  relation 
to  their  preparedness  for  war,  noting  their  training,  equipment,  and 
adequacy,  and  giving  a  detailed  statement  of  the  department  sur-. 
geon's  plans  for  assignment  of  Medical  Department  personnel  and 
materiel  in  the  event  of  mobilization  of  the  troops  of  his  department. 

DEPARTMENT    SANITARY    INSPECTORS. 

371.  The  duties  of  the  sanitary  inspector  of  a  department  are: 

(a)  To  serve  as  assistant  to  the  department  surgeon  and  to  assmne 
the  duties  of  that  officer  when  the  latter  is  absent. 

(h)  To  have  charge,  under  the  direction  of  the  department  surgeon, 
of  all  matters  relating  to  the  sanitary  care  of  troops. 

(c)  To  scrutinize  the  sanitary  reports  rendered  by  medical  officers 
comformably  to  Army  Regulations. 

(d)  To  recommend  the  issue,  at  proper  times,  of  ordei-s  containing 
specific  instructions  regarding  hygienic  and  sanitary  mattei-s. 

(e)  To  proceed,  when  authorized,  to  points  threatened  by  seriously 
insanitary  conditions  for  the  purpose  of  studying  such  conditions  and 
of  recommending  and  supervising  measures  for  their  correction. 
(See  par.  367.) 


122  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

(/)  To  make  himself  thoroughly  famihar  with  the  sanitaiy  condi- 
tions at  and  near  each  point  within  the  jurisdiction  of  the  department 
commander  where  troops  are  stationed. 

(g)  To  make  himself  thoroughly  familiar  with  the  amount  and  char- 
acter of  field  equipment  and  supplies  pertaining  to  the  sanitary  serv- 
ice at  each  post  in  the  department,  and  to  assist  the  department 
surgeon  in  fomiulating  such  plans  for  mobiHzation  as  will  result  in 
the  sanitary  troops  arriving  at  their  concentration  camps  equipped 
as  prescribed  in  regulations. 

(/i)  To  make  amiual  inspections  at  such  garrisoned  stations  as  the 
department  commander  shall  designate. 

INSPECTIONS. 

372.  Tlie  sanitary  inspections  referred  to  in  section  (Ii)  of  the  pre- 
ceding paragraph  are  of  two  Idnds:  (1)  Tliose  pertaining  to  sanitation, 
and  (2)  those  relating  to  the  administration  of  the  Medical  Depart- 
ment. 

373.  Inspections  of  the  first  class  should  cover  all  matters  pertain- 
ing to  the  hygiene  and  sanitation  of  the  command,  including  the 
efficiency  of  the  measures  for  protection  of  the  command  against 
epidemic  diseases,  especially  smallpox,  typhoid  fever,  and  venereal 
contagions. 

(a)  Reports-  of  these  inspections  will  include  recommendations  as 
to  appropriate  remedial  measures  for  conditions  needhig  con-ection. 
Tliey  will  be  made  in  dupUcate.  Tlie  original  will  be  forwarded 
promptly  to  the  Surgeon  General  through  military  channels;  the 
other  copy  will  be  filed  in  the  office  of  the  department  surgeon. 
In  addition  the  inspector  will,  on  completion  of  an  inspection  at  any 
point,  furnish  the  local  commander  a  written  statement  of  all  irregu- 
larities and  deficiencies  observed . 

374.  Inspections  of  Medical  Department  admuiistration  should 
include  the  following  points: 

(1)  Hospital  administration,  including  the  care  of  the  sick,  cleanli- 
ness, neatness  and  order  of  hospital  buildings  and  grounds;  character, 
sufficiency,  care,  and  issues  of  medical  suppfies;  records;  hospital 
fund ;  ~  mess  management. 

(2)  State  of  instruction,  disciphne,  adequacy,  and  efficiency  of  the 
personnel  of  the  Medical  Department. 

(3)  Preparedness  for  field  service,  including  the  character,  oare, 
and  sufficiency  of  equipment,  suppfies,  and  means  of  transportation. 

(4)  Any  other  matters  which  pertain  to  the  Medical  Department 
of  the  Army. 

(a)  Reports  of  these  inspections  will  be  forwarded  through  mifitary 
channels  to  the  Surgeon  General.  A  dupficate  will  be  filed  in  the 
office  of  the  department  surgeon.     In   addition   the  inspector  will 


DUTIES   OF    MEDICAL   OFFICERS.  123 

forward,  through  military  channels,  to  the  commanders  of  the  Medi- 
cal Department  organizations  concerned,  a  written  statement  of  all 
irregularities  and  deficiencies  observed.  These  officers  will,  without 
delay,  report  by  indorsement  thereon  what  remedies  they  have 
appUed  or  will  apply  to  correct  each  of  the  irregularities  or  defects 
noted. 

ATTENDING    SURGEONS. 

375.  The  Surgeon  General  will  recommend  the  assignment,  as 
attending  surgeons  in  the  principal  medical  centers  of  the  United 
States,  of  medical  officers  who  have  not  yet  passed  their  examina- 
tion for  promotion  to  a  majority,  and,  so  far  as  may  be  practicable, 
in  the  order  of  their  seniority.  These  details  will  be  made  for  not 
more  than  one  year  in  order  that  as  many  medical  officers  as  pos- 
sible may  be  enabled  to  avail  themselves  of  the  opportunities  thus 
afforded  for  makmg  themselves  familiar  with  the  practice  of  the  lead- 
ing physicians  and  surgeons  m  this  country,  and  of  attending  medical 
lectures,  meetmgs  of  medical  societies,  etc.  At  the  end  of  this  tour 
of  duty  medical  officers  are  required  to  make  a  detailed  report  to  the 
Surgeon  General  showing  how  much  of  their  time  has  been  occupied 
by  their  official  duties  and  to  what  extent  they  have  availed  them- 
selves of  the  advantages  offered  for  professional  advancement. 

376.  An  officer  on  duty  as  attending  surgeon  will  select  an  office 
hour  between  the  hours  of  9  a.  m.  and  4  p.  m.,  and  will  remain  in  his 
office  during  this  hour,  unless  called  away  by  an  urgent  professional 
engagement.  He  will  inform  all  officers  on  duty,  and  all  officers  on 
the  retired  list  living  in  the  city,  of  his  office  and  residence  address 
and  office  hour,  and  of  any  changes  therein;  also  of  his  departure 
should  he  leave  station  in  obedience  to  orders  or  otherwise,  giving  the 
name  and  address  of  his  successor  or  relief  should  one  have  been 
designated.  He  will  be  careful  not  to  allow  anything  to  interfere  with 
the  proper  performance  of  his  duties  as  attending  surgeon. 

DISBURSING    OFFICERS. 

377.  Officers  detailed  as  disbursing  officers  of  the  Medical  Depart- 
ment will,  unless  otherwise  instructed,  pay  accounts  against  the 
Medical  Department  incurred  by  them.  They  will  pay  accounts 
incurred  by  other  officers  only  when  authorized  so  to  do  by  the 
Surgeon  General. 

378.  Medical  Department  disbursing  officers  will  forward  with  every 
voucher  paid  by  them  for  supplies,  except  supply  vouchers  specially 
referred  to  them  by  the  Surgeon  General  for  payment,  an  invoice  of 
articles  purchased,  Form  12;  but  no  invoice  is  required  for  prescrip- 
tion charges  paid  for  on  Forms  352,  353,  355,  and  377,  W.  D. 


124  MANUAL  FOR  THE  MEOICAL  CF.PAfiTMSNT. 

379.  Disbursing  officers  of  the  Medical  Department  who  receive 
commuiiLications  concerning  then-  medical  money  accounts  direct  from 
the  Auditor  for  the  War  Department  will  immediately  refer  the  same 
or  send  copies  thereof  to  the  Surgeon  General,  who  will  give  instnic^^^ 
tions  in  the  premises  if  any  are  required.  Should  reply  to  the 
Auditor  be  appropriate  it  will  be  made  by  the  Surgeon  General  or  be 
transmitted  through  his  office. 

MEDICAL    SUPPLY    OFFICERS. 

(See  par.  476.) 

380.  Officers  in  charge  of  medical  suppay  depots  will  procure,  safe- 
guard, and  issue  medical  and  hospital  supplies  as  authorized  and 
directed  by  competent  authority. 

(a)  They  will  keep  the  following  records  and  files  and  turn  them  ' 
over  to  their  successors:  Of  correspondence  as  indicated  in  paragraph 
402,  of  funds  received  and  expended,  of  purchase  orders  given  for 
medical  and  hospital  suppfies  (including  contracts),  of  articles 
received,  of  articles  expended,  of  requisitions,  of  issues,  of  articles 
on  hand,  of  invoices  of  packages  turned  over  to  the  Quartermaster 
Corps,  of  contents  of  packages,  and  of  employees. 

(b)  They  will  forward  a  property  return  on  Forms  17,  17a  and  17c 
at  the  end  of  each  quarter,  retaining,  a  dupHcate  thereof  with^fe'^ 
complete  set  of  vouchers. 

(c)  They  will  make  such  other  reports  and  returns  as  the  Surgeoii  ' 
General  may  from  time  to  time  require. 

MEDICAL    OFFICERS    OF    THE    TRANSPORT    SERVICE. 

381.  The  duties  of  the  medical  supermtendents  of  the  transport 
service  and  of  the  surgeons  of  transports  are  prescribed  in  the  Army 
Transport  Service  Regulations. 


ARTICLE  VII.— PHYSICAL  EXAMINATIONS. 


CADET    CANDIDATES    AND    CADETS. 

.,,^  382.  Candidates  selected  for  appointment  to  the  ^lilitary  Academy 
must,  before  their  admission,  conformably  to  regulations  for  the 
acadeni)^,  appear  for  mental  and  physical  examination  before  boards 
of  Army  officere  convened  for  the  purpose  at  times  and  places  desig- 
nated by  the  War  Department.  The  constitution  of  the  boards  and 
tlieu'  procedure  are  regulated  by  orders  issued  from  time  to  time  by 
the  War  Department.  (See  Appendix:  Physical  Examinations — Cadet 
candidates.) 

383.  The  physical  examination  of  cadets  made   annually   after 

admission  and  on  graduation  pertains  to  the  interior  administration 

of  the  academy  and  is  governed  by  the  regulations  for  the  academy. 
m*nt  >^'  "  :  ■ 

*i$AV)^^\^i.        CANDIDATES    FOR    COMMISSION. 

384.  The  physical  examination  of  candidates  in  civil  life,  and 
soldier  candidates,  for  appointment  to  the  grade  of  second  lieutenant, 
is  governed  by  regulations  published  from  time  to  time  in  general 
orders.  Appointments  in  the  Medical  Corps  are  subject  to  the 
physical  examination  indicated  in  paragraphs  5a  and  9a .  of  this 
Manual;  in  the  Medical  Reserve  Corps  to  the  examination  indicated 
in  paragraphs  14,  IQh,  and  17;  m  the  Dental  Corps  to  the  examination 
indicated  in  paragraph  28.  (See  Appendix:  Physical  Examinations — 
Candidates  for  commission  in  U.  S.  Army.) 

385.  For  the  purpose  of  securing  a  hst  of  persons  specially  cj[ualified 
to  hold  commissions  in  any  volunteer  force  which  may  be  called  for 
and  organized  under  the  authority  of  Congress  boards  of  officers  are 
convened  by  the  Secretary  of  War  to  examhie  applicants  from  civil 
life  and  from  the  Ai'my.  Tlie  constitution  of  the  boards  and  the 
physical  requirements  for  appUcants  are  prescribed  in  general  orders. 
(See  Appendix:  Physical  Examinations — Candidates  for  commission 
in  the  Volunteers.) 

OFFICERS— EXAMINATIONS    FOR    PROMOTION,    RETIRE- 
MENT,  LEAVE  OF  ABSENCE,   THE  AVIATION   SERVICE, 

'^'  AND  ANNUAL  EXAMINATIONS. 

•  386.  The  physical  exammation  of  officers  for  promotion  is  a  part 
of  their  general  examination,  and  is  governed  by  regulations  pub- 
lished from  time  to  time  in  general  orders.  (See  Appendix:  Officers — 
Examination  of,  for  promotion.) 

125 


126  MANUAL   FOE,   THE    MEDICAL   DEPARTMENT. 

387.  Regulations  for  the  examination  of  officers  for  retirement 
appear  in  the  Manual  for  Courts-Martial,  Courts  of  Inquiry,  and 
Retuing  Boards. 

388 .  The  physical  examination  of  officers  upon  their  application  for 
sick  leave  of  absence  is  governed  by  express  provisions  in  Army 
Regulations. 

389.  Applicants  for  detail  in  the  aviation  service  of  the  Anny  are 
required  to  submit  to  a  special  physical  examination,  the  require- 
ments of  which  are  published  from  time  to  time  in  general  orders. 
(See  Appendix :  PTiysical  Examinations — Aviation  service.) 

390.  The  requirements  of  the  annual  physical  examination  pre- 
scribed for  all  commissioned  officers  are  published  from  time  to  time 
in  general  orders.     (See  Appendix:  Physical  Examinations — Officers.) 

APPLICANTS    FOR    ENLISTMENT. 

391.  Tlie  physical  examination  of  applicants  for  enlistment  is  con- 
ducted in  accordance  with  Rules  for  the  Examination  of  Recruits  and 
instructions  supplementary  thereto  published  in  general  orders  from 
time  to  time.  (See  Appendix:  Physical  Examinations — Afflicants 
for  enlistment.     See  also  Ai'my  Regulations.) 

ENLISTED       MEN— RECRUITS,      DESERTERS,       FOR      DIS- 
CHARGE,  FOR  AVIATION   SERVICE. 

392.  The  personal  identification  record  of  recruits  (finger-print  and 
photographic  system)  is  made  under  orders  issued  from  time  to  time 
by  the  War  Department.     (See  Appendix:  Identification  Records.) 

393.  The  physical  examination  of  apprehended  and  surrendered 
desertei-s  is  governed  by  Army  Regulations.  The  form  of  certificate 
required  is  given  in  the  Manual  for  Courts-Martial. 

394.  The  physical  examination  of  enlisted  men  for  discharge  on 
account  of  disability  is  subject  to  the  provisions  of  Army  Regulations, 
and  of  instructions  issued  from  time  to  time  in  general  orders.  (See 
Appendix:  Discharge  of  Enlisted  Men.)  ".,  , 

396.  A  special  pliysical  examination  is  prescribed  in  general  orders 
for  certain  enlisted  meii  of  the  aviation  section  of  the  Signal  Corps. 
(See  Appendix :  Physical  Examinations — Aviation  service.) 

OTHER    EXAMINATIONS. 

396.  Other  physical  examinations  are  regulated  as  follows:  For 
appointment  as  acting  dental  surgeon,  paragraph  24a,  this  Manual; 
for  appointment  in  the  Nurse  Corps,  paragraph  63,  this  Manual;  at 
the  station  where  a  member  of  the  Nurse  Corps  first  reports  for  duty, 
paragraph  74a,  this  Manual;  for  admission  to  the  Government  Hos- 
])ital  for  the  Insane,  Army  Regulations;  for  admission  to  the  Army 


PHYSICAL  EXAMINATIONS.  127 

and  Navy  General  Hospital  at  Hot  Springs,  Ark.,  Army  Regulations; 
for  admission  to  the  general  hospital  at  Fort  Bayard,  N.  Mex.,  para- 
graph 334  of  this  Manual,  and  Ai-my  Regulations;  for  officei'S  and 
enlisted  men  of  the  Organized  Militia  when  called  into  the  service  of 
the  United  States,  Army  Regulations:  Militia,  Organized — Physical 
examinations. 

VISION,    COLOR    SENSE,    AND    HEARING. 

397.  The  methods  of  determining  and  recording  acuity  of  vision, 
color  sense,  and  acuity  of  hearing  prescribed  in  orders  and  instruc- 
tions relating  to  the  examination  of  recruits  will  be  followed  as  far 
as  practicable  in  conducting  all  other  tests  of  vision  and  hearing  in 
the  Army.  (See  Appendix:  Physical  Examinations — Vision,  color 
sense,  and  hearing.) 


AllTICLE      Vin.— REPORTS,      RETURNS, 

RECORDS. 


AND 


LIST  OF  REPORTS  AND  RETURNS. 

398.  The  following  table  includes  the  usual  reports  and  returns 
required  of  officers  of  the  Medical  Department  in  time  of  peace  (for 
reports  made  under  field-service  conditions  only,  see  par,  558) : 


Name  of  report,  etc. 

Form  No. 

Num- 
ber of 
copies. 

To  whom  sent. 

Remarks. 

(a)  Daily. 

( 1 )  Surgeon's  morning  report  of 

sick. 

(2)  Morninj; report,  detachment 

of  Hospital  Corps. 

(3)  Dailj'  sick  report,  detach- 

ment ofHospital  Corps. 

(6)  Trimonthly. 

(D  Trimonthly  report  of  enlist- 
ments. 

(c)  Monthly. 

(1)  Personal  report  of  medical 

officer,  dental  surgeon, 
acting  dental  surgeon,  or 
contract  surgeon. 

(2)  Return    of    the    Hospital 

Corps. 

(3)  Efficiency  report  of  nurses. 

(4)  Return  of  the  Nurse  Corps. 

(5)  Pay  rolls,  enlisted  men 

(G)  Pay    roll.    Army    Nurse 
Corps. 

(7)  Ration  r'iturn  of  matron 

and  others  rationed  sepa- 
rately. 

(8)  Voiicher  for  commutation 

of  rations  of  enlisted  men , 
Army  Nurse  Corps,  etc., 
in  hospital. 

(9)  Statement  of  hospital  fund. 

(10)  Report  of  sick  and  wounded 

(11)  Report  of  dental  work 

(12)  Sanitary  report    . 

71,M.D 

332,A.  G.  O 

339,A.  G.O 

18  A.G.O 

1 

1 
1 

2 

2orl 

2 

2 

2 
3 

3 

2 

2 

2 
2 

2 

2 

2 

C.  O 

Made   after  sick   call 

CO 

Returned  by  the  ad- 
jutant to  the  hospital 
Do. 

Kept  at  hospital.. 

1  to  The  A.  G.;  1 
retained. 

2  to  S.G.  through 
D.S.  or  1  direct. 

1  to  S.  G. through 
D.S.  or  direct;  1 
retained. 

1  to  D.  S.  or  to 

S.r,.;l  retained. 

do 

At  recruit  depots  and 
depot  posts  made  by 
commanding  officer. 
At  other  garrisoned 
posts    and    stations 
made  by  recruiting 
officer. 

See  pars.  12,  13,  18,  19, 

47a,  M.  I) 

32,  and  55. 
Monthly     return     for 

62,M.D 

field  use  only.    See 
par.  50. 
See  par.  99. 

63,  M.  D 

See  par.  98. 

3Gf>,  W.  D.;  3Gf>a, 

W.  D. 
334,  W.  D.;  334a, 

W.  D. 
223,  Q.  M.  C 

351,  W.  I) 

3  to  C.  0 

1  returned  to  surgeon 

2topayingQ.  M.; 

1  retained. 
1  to  C.  O.;  memo. 

kept  at  hospital. 

2toC.O 

to  be  retained. 
1  original  and  1  memo- 

49, M.  D 

1  to  D.  S.  or  to 
S.G.;1  retained. 

1  toS.  G.  through 
I).  S.,or  direct; 
1  retained. 

1  to  S.G.  through 
medical     chan- 
nels; 1  retained. 

1    to    The  A.  G. 
through  military 
channels;    1  re- 
tained. 

1  to  The  A.  G.;  1 
retained. 

randum. 
See  pars.  2r>0,  261,  and 

51,  M.  D.;51o,  M. 

b.;  516,  M.  D.; 

52,  M.  r>. 
57,  M.  D 

262. 
See  pars.  457  to  464. 

See  par.  473. 

50,  M.  D    

See  pars.  414  to  417. 

(13)  Report  of  medical  exami- 
nation of  applicants  for 
enlistment. 

2G5,  A.G.  O 

128 


BEPOBTS,   BETUBNS,  AND  BECOEDS. 


129 


Name  of  report,  etc. 


(c)  Monthly— Contmued. 

(14)  Report  of  progress  of  re- 

pairs to  hospital. 

(15)  Report  of  progress  of  re- 

pairs to  quarters  of  ser- 
geants first  class,  Hos- 
pital Corps. 

(16)  Voucher  for  hospital  laun- 

dry not  done  by  hospital 
matron. 

(17)  Account  current 


(18)  Report  of  Issues  of  medicine 
to  civilians. 


(19)  Requisition  for  forage 

(20)  Report  of  ordnance  charges 

on  muster  and  pay  rolls. 

(21 )  Statement  of  charges ,  quar- 

termaster property. 

(22)  Report  of  meteorological 

observations. 


(d)  Bimonthly. 

(1)  Muster  roll,  detachment  of 

Hospital  Corps. 

(2)  Muster  roll,  soldiers  in  hos- 

pital. 

(3)  Return  of  the  Hospital 

Corps. 

(e)  Quarterly. 

(1)  Special  requisition  for  med- 

ical supplies. 

(2)  Requisition  for  tableware 

and  kitchen  utensils. 

(3)  Certificate  of  breakage, 

china  and  glassware. 

(/)  Semunnually. 

(1)  Return   of  ordnance   and 
ordnance  stores. 


(2)  Statement  of  charges  for  ord- 

nance property  on  muster 
and  pay  rolls. 

(3)  Returnofhorseequipments 

(4)  Requisition  for  blanks 


Form  No. 


(g)  Anntjallt. 

(1)  Statement  of  preferences. . . 

(2)  Efficiency reportofofficers.. 


(3)  Requisitions    for    medical 

supplies. 

(4)  Report  of  surgical  operar 

tions. 

(5)  Statement  of  repairs,  etc., 

to  hospital. 

(6)  Statement  of  repairs,  etc., 

to  quarters  of  sergeants 
first  class.  Hospital  Corps. 


Letter 

....do 

330  or  3.30(7,  W.D. 
3206  or  320,  W.D. 
Letter 


218,Q.  M.  C 

94,O.D 


208,Q.  M.C 

Weather  Bureau . 


21,  A.  G.  O.... 

....do 

47,M.D 

35,  M.  D 

16fi,  Q.  M.  C... 
207,  Q.  M.C... 


18,  O.D.;  IScover. 


86,  O.  D. 


18a,  O.  D. 
37M.  D.. 


Num- 
ber of 
copies. 


423,A.  G.  O 

429,  A.  G.  O 

33,M.D.;35,M.D. 

58,  M.  D 

Letter 

do 


4  or  3 
3 


To  whom  sent. 


1 
1 

4  or  3 

1 
1 
1 


8.  G 

S.  G.... 


2toI).  S.  or  to  the 
S.  G. 

1  to  S.  G.;  1  re- 
tained. 

1  to  S.G.;  in  Phil- 
ippine Depart- 
ment to  D.  S. 

2toC.O 

1  to  Q.  M.,  who 
pays  the  detach- 
ment; 1  retained. 

2  to  Q.  M.;  1  re- 
tained. 

Through  director 
State  section 
Weather  Bureau 
to  S.  G. 


2     to     mustering 

officer. 
....do 

1  to  S.  G.  through 
D.  S.  or  direct; 
1  retained. 


4  to  D.  S.  or  from 
independent 
posts, 3  to  S.  G. 

2  to  C.  O.;    1  re- 
tained. 


Q.  M. 


1  to  C.  of  O.  (ex- 
cept in  Philip- 
pine Depart- 
ment, where  to 
D.  O.  O.);  1  re- 
tained. 

do 


.do. 


Remarks. 


1  to  S.  G.  (except 
in  Philppine 
Department, 
where  to  D.  S.); 
1  retained. 


To  The  A.  G.  di- 
rect. 

To  The  A.  G. 
through  mili- 
tary channels. 

4  toD.  S.  or,  from 
inde  pendent 
posts,  3  to  S.  G. 

1  lo  D.  S.  or  to 
S.  G. 

Q.M 


.do. 


See  par.  245. 
Do. 


1  original  and  1  memo- 
randum. See  par. 
277. 

Accompanied  by  the 
appropriate  vouch- 
ers. 

See  par.  244. 


From  designated  posts. 
See  par.  527. 


1  returned  to  hospital 
to  be  retained. 
Do. 

Bimonthly  return  in 
garrison.  See  par. 
50. 


1  returned  to  surgeon 
to  be  retained.  See 
par.  482  et  seq. 

Wnen  Hospital  Corps 
detachment  is  messed 
separately. 

When  Quartermaster 
Corps  china  and  glass- 
ware are  used. 


Vouchers    to    accom- 
pany. 


To  accompany  return. 

Vouchers     to    accom- 
pany. 


See  instructions  on  the 

form. 
See  Army  Regulations. 


1  returned  to  surgeon 
to  be  retained.  See 
par.  477  et  seq. 

See  pars.  418,  419,  and 
420. 

See  Army  Regulations. 

Do. 


93440°— 17- 


130 


MANUAL  FOR  THE    MEDICAL  DEPAETMENT. 


Name  of  report,  etc. 


(A)  Occasionally. 

(1)  Ration  return,  detachment 

of  Hospital  Corps. 

(2)  Report  of  change  of  station 

or  status,  M.  O.,  D.  S., 
A.  D.  S.,C.  S.,  H.  C,  or 
A.  N.  C. 

(3)  Change  of  station,  M.  O., 

D.  S.,orC.  S. 

(4)  Report  of  death  of  officer. . , 


(5)  Report  of  death  of  ofTicer, 

enlisted  man,  or  civilian. 

(6)  Report  of  death  of  M.  O., 

D.  S.,  A.  D.  S.,C.  S.,or 
Sergt.  f.  c    H.  C. 

(7)  Certificate  of  death 


(8)  Inventory    of   effects,    de- 

ceased   oincer,    enlisted 
man,  or  civilian. 

(9)  Efficiency reportof officers. 


(10)  Efficiency   report,    Army 
Nurse  Corps. 


(11)  Efficiency  report,  Hospital 

Corps. 

(12)  Record  of  assignment  and 

pay,  Army  Niu'se  Corps. 

(13)  Enlistment  paper  of  soldier 

enlisting  or  reenlisting. 

(14)  Report  of  physical  exami- 

nation ofrecruit. 

(15)  Identification  record,    re- 

cruit. 


(16)  Designation  of  beneficiary. 

(17)  Descriptive    and     assign- 

ment card,  recruit. 

(18)  Account  of  clothing  issued 

to  recruit. 

(19)  Descriptive  list 


(20)  Reservist's  descr  i  p  t  i  v  e 

card. 

(21)  Notification  of  transfer  to 

Army  reserve. 

(22)  Allotment  of  pay 


(23)  Discontinuance    of    allot- 
ment of  pay. 


(24  J  Report  of  soldier's  deposit 
(2.5)  Advice  of  soldiers' deposits. 

(26)  Report  of  transfer,  deser- 

tion, or  death  of  soldier 
havmg  deposits. 

(27)  Final  statement,  enlisted 

man. 

(28)  Notification  of  discharge, 

enlisted  man. 


Form  No. 


223,  Q.  M.  C 

I^etter 

do 

Telegram 

I,etter 

do 

Local  form 

34,  A.  G.  O 

429,  A.  G.  O 

62,  M.  D 

80,  M.  D , 

66,  M.  D 

22,  A.  G.  O 

135,  A.  G.  O 

260,  A.  G.  0.;261 
A.  G.  O. 

380,  A.  G.  O 

25,  A.  G.  O 

140,  A.  G.  O 


29,  A.  G.  O . 


443,  A.  G.  O.. 

559,  A.  G.  O.. 

38,  Q.  M.  C... 

39,  Q.  M.  C... 


Letter 

8a,  Q.  M.  C 

No      form      pre- 
scribed. 

370,  W.D 

3,  A.  G.  O 

..vi> I   . 


Num- 
ber of 
copies. 


2 
2or  1 


Usual- 
ly 2 


To  whom  sent. 


1  to  C.  O.;  memo, 
copy  kept  at 
hospital. 

2  to  S.  G.  through 
D.  S.  or  1  direct. 


To  The  A.  G.  di- 
rect. 
To  The  A.  O 


CO 

1  to  D.  S.,  1  to 

S.  G. 

To  local  health  of- 
ficer. 

2  to  The  A.  G.;  1 

retained. 

To  officer's  new 
C.  O.  or  to  sur- 
geon of  his  new 
station. 

1  toC.  O.  of  hospi- 
tal to  which 
transferred;  1 
retained. 

1  forwarded  with 
D/L;  1  retained. 

1  to  nurse's  new 
C.  0.;1  retained. 

As  prescribed  on 
the  form. 

The  A.  G.  direct. 

The  A.  G.;  in  the 
Philippine    De- 

gartment  to  the 
.  G.  thereof. 
The  A.  G.  direct.. 

CO 

To  accomyjany  de- 
scriptive and  as- 
signment card. 

Number  and  dis- 
position accord- 
ing to  circum- 
stances as  pre- 
scribed in  regu- 
lations. 

1  to  reservist;  1  to 
office  where  rec- 
ords are  kept. 

1  to  The  A.  G.  di- 
rect; 1  retained. 

1  to  Q.  G.;  1  re- 
tained. 

Q.O 

C  O.  with  payroll 

Q.a : 

Q.G 

As  prascribed  on 

the  form. 
Paying  Q.  M 


Remarks. 


Made  at  such  mtervals 
as  the  C  O.  may 
direct. 

See  pars.  12,  13, 18,  19, 
32,  45,  55,  and  100. 


See  Army  Regulations. 

O  f  officers  on  active  list 
who  have  no  imme- 
diate commanders, 
and  of  officers  on  the 
retired  list. 

See  par.  218. 


See  par.  219. 


See  Army  Regulations-, 
Deceased  soldiers. 

See  Army  Regulations. 


See  par.  99. 

See  par.  46 
See  par.  766. 


Notation  made  on  sol- 
dier's D/L. 


See  Appendix:  Army— 
Reserve. 

Do. 


Notation  of  discontin- 
uance made  on  re- 
tained  copy  of  allot- 
ment of  pay. 


In  urgent  cases  report 
by  telegraph. 


See  Army  Regulat  ions: 
Final  payiruiU,  en- 
listed men. 


REPORTS^    RETURNS,    AND    RPiCORDS. 


131 


Name  of  report,  etc. 


(h)  Occasionally— Continued. 

(29)  Discharge  certiflcate,   en- 
li.sted  man. 


(30)  Certificate  of  disability 

(31)  Furlough 

(32)  Statement  of  service. . 


(33)  Certificate  of  indebtedness 

of  employee  for  haspital 
service. 

(34)  Special  requisition  for  med- 

ical supplies. 

(35)  Requisition  for  clothing  (in 

bidk). 

(36)  Requisition    for    clothing 

(individual). 

(37)  Statement  of  clothing 

(38)  Requisition  for  ordnance. . . 

(39)  Return  of  medical  prop- 

erty. 


(40)  Report  of  survey 

(41)  Inventory  and  inspection 

report. 

(42)  Special  sanitary  report 


Manuscript . 


Letter. 


43)  Report  on  oflicer  or  en- 
listed man  who  has  been 
in  general  hospital  three 
months. 

(44)  Report  of  appearance  of 

epidemic  disease  at  or 
near  a  military  post  or 
station. 

(45)  Report  of  appearance  of 

epidemic  disease  in  a  mil- 
itary command  en  route 
to  new  station. 


(46)  Notification  to  local  board     Letter     or     local 

ofhealth  of  appearance  of        form, 
infectious   disease   at   a 
military  post.  I 

(47)  Reports  of  births V.  S.  109 


Form  No. 


525,  A.  G.  0.;526, 
A.  G.  O.;  527, 
A.  G.  O. 


17,A.  G.  O. 
66,  A.  G.  O. 
15,  A.  G.  O. 


49a,  M.  I) . 


35,  M.  D. 


213,  Q.  M.  C 

165,  Q.  M.  C 


1656,  Q.  M.C. 
386,0.  D 


17,  M.  D.;  17a, 
M.D.;176,M.D. 
17c,  M.  D. 

196,  A.  G.  O 

1,1.  G.D 

Letter 


-do. 


V.  S.  9S. 
Letter... 


(4S)  Reports  of  deaths 

(49)  Special  reports  of  interest- 
ing cases. 


(.50)  Report  of  change  of  combi-   do. 

nation  of  lock  of  hospital 

safe.  I 

(j)  On  Breaking  up  of  Hospi-  i 

TAL. 


(1)  Current  periodical  reports 
and  returns  to  be  com- 
pleted. 


Num- 
ber of 
copies. 


4  or  3 

3 

2 

1 
3 

2 


To  whom  sent. 


Soldier 

C.  O 

do 

To  accompany 
charges  against 
enlisted  man  for 
trial  by  court- 
martial. 

As  reqmred  by 
Army  Regula- 
tions". 

4  to  D.  S.  or  3  to 
the  S.  G. 

3  to  Q.M.  direct. 

2to  Q.  M.  direct. 


Retained. 


2  to  C.  C;  1  re- 
tained. 

1  to  S.  G.;  1  re- 
tained. 


3toC.  O 

2  to  inspect  ing  offi- 
cer. 

To  The  A.  G. 
through  m  i  1  i- 
tary  channels. 

2toS.G 


1  to  C.   O.;  1  to 
D.  S.;ltoS.  G. 


3  copies  as  in  pre- 
ceding case;  ad- 
ditional copy  to 
surgeon  of  new 
station. 

Board  ofhealth. . , 


To  Director  of  Cen- 
sus. 

do 

S.G.through  med- 
ical channels. 


1  t  S.  G . 


(2)  Retained  records 


Number  of  copies 
and  dLsposition 
as  at  the  end  of 
full  stated  peri- 
ods in  each  case. 

The  A.  G.,  with 
schedule. 


Remarks. 


To  be  given  by  field 
ofTioer  of  soldier's  reg- 
iment or  corps,  or  by 
the  commanding  offi- 
cer when  no  field  offi- 
cer is  present. 


1  returned  to  surgeon 
to  be  retained.  See 
par.  485. 


Separate  slips  for  each 
man  drawing  cloth- 
ing. 

Filed  with  requisition 
to  which  it  pertains. 


See  par.  507. 

See  Army  Regulations. 

See  par.  416. 

See  par.  287. 

See  par.  201. 

Do. 

See  par.  203. 

See  par.  401. 

Do. 

By  the  attending  phy- 
sician. See  pars.  421 
and  422. 

See  par.  247. 


132  MANUAL  FOR   THE    MEDICAL   DEPARTMENT. 

LIST    OF    RECORDS. 

399.  The  following  list  includes  all  the  principal  records  required 
to  be  kept  in  military  hospitals  in  addition  to  retained  copies  of 
reports,  returns,  etc.: 

(1)  Register  of  sick  and  wounded  (Form  52). 

(2)  CHnical  records  (Forms  55,  a  iou). 

(3)  Prescription  files  (par.  240). 

(4)  Register  of  dental  patients  (Form  79). 

(5)  Correspondence  records  (pars.  402  to  406). 

(6)  Record  of  instruction  of  the  Hospital  Corps  (pars.  163  and  178). 

MODE  OF  KEEPING  AND  AUTHENTICATING  REPORTS, 
RETURNS,  AND  RECORDS. 

400.  In  the  absence  of  a  medical  officer  the  officer  designated  to 
take  charge  of  medical  property  will  sign  all  property  and  admmis- 
trative  papere,  while  the  physician  who  renders  professional  service 
will  sign  papers  of  a  professional  character,  such  as  reports  of  sick 
and  wounded,  surgical  reports,  morning  sick  reports,  etc.  (See  pars. 
435a  and  4606.) 

REPORTS  OF  BIRTHS  AND  DEATHS. 

401.  Reports  of  births  and  deaths  as  they  occur  at  military  posts 
will  be  made  to  the  Director  of  the  Census,  Washhigton,  D.  C,  upon 
blank  forms  furnished  by  him  for  that  purpose,  on  requisition  made 
by  the  post  commander. 

(a)  Births  and  deaths  occurring  at  military  posts  will  also  be 
reported  to  municipal  and  State  health  authorities,  if  desired  by 
them.     (See  Army  Regulations.) 

(6)  For  notations  of  births  and  deaths  to  be  made  on  the  report  of 
sick  and  wounded,  see  paragraph  459. 

CORRESPONDENC^E    RECORDS. 

402.  The  record  card  system,  as  prescribed  in  War  Department 
orders,  will  be  used  for  recordmg  and  filing  the  correspondence  at 
the  offices  of  department  surgeons,  unless  otherwise  directed  by 
higher  authority,  and  at  general  hospitals,  medical  supply  dep'^ts,  and 
such  other  offices  as  may  bo  specially  authorized  to  employ  it. 

403.  The  correspondence  book  system,  as  prescribed  in  War 
Department  orders,  will  be  used  for  recording  and  filing  the  corre- 
spondence of  all  post  hospitals  and  other  sanitary  formations  not 
mentioned  in  the  precedmg  paragraph,  except  those  for  which  some 
other  system  is  specially  prescribed. 


REPORTS,  RETTTRNS,  A'N'D  RECORDS.  188 

404.  The  correspondence  of  an  attending  surgeon  at  the  head- 
quarters of  a  department  will  be  considered  a  part  of  the  correspond- 
ence of  the  department  surgeon's  office. 

(a)  The  correspondence  of  other  attending  surgeons  will  be  kept 
as  at  post  hospitals,  except  as  the  same  may  be  varied  by  the 
authority  of  the  Surgeon  General. 

405.  The  required  correspondence  books  are  furnished  by  The 
Adjutant  General.  The  materials  necessary  for  the  record  card 
system  are  furnished  by  the  Quartermaster  Corps.  (See  pars.  962 
and  963.) 

406.  For  reference  to  general  orders  governing  correspondence  see 
Appendix:  Records  and  Correspondence.  For  method  of  keeping  cor- 
respondence records  in  the  field  see  paragraph  564. 

ClilNICAIi    RECORD. 

407.  A  clinical  record  will  be  kept  for  every  patient  in  hospital. 
Forms  55a  and  55/  will  be  used  in  every  case;  the  other  lettered 
blanks  of  Form  55  will  be  used  as  the  nature  or  importance  of  the 
case  may  warrant. 

408.  Upon  the  transfer  of  a  patient  from  one  ward  of  the  hospital 
to  another,  the  clinical  record  will  be  sent  with  him  to  the  new  ward. 
The  fact  of  transfer  will  be  noted  on  the  record. 

409.  Upon  the  departure  of  a  patient  from  the  hospital  all  the 
sheets  of  the  clmical  record  will  be  arranged  in  their  proper  order, 
fastened  together  at  the  top,  all  entries  completed,  and  the  record 
signed  by  the  ward  surgeon.  The  record  so  completed  and  signed 
will  be  sent  to  the  office  with  the  next  morning  report  of  the  ward 
(par.  211). 

410.  A  similar  clinical  record  should  be  kept  for  all  serious  cases 
in  quarters.  Upon  the  discontinuance  of  treatment  because  of  the 
completion  of  the  case  or  the  patient's  departure  from  post  or  com- 
mand the  record  should  be  forwarded  to  the  hospital  office. 

411.  The  bedside  notes  (Form  68)  kept  by  the  nurse  are  for  tem- 
porary use.  They  should  not  be  filed  with  the  clinical  record  but 
may  be  destroyed  at  the  discretion  of  the  commanding  officer  of  the 
hospital. 

MEDICAL    HISTORY    OF    POST. 

412.  A  medical  history  of  every  permanent  post  will  be  kept  by 
the  surgeon  in  a  loose-sheet  binder  (par.  844).  The  duplicates  of  the 
sanitary  reports  (par.  414)  and  the  duplicate  report  sheets  of  sick 
and  wounded  (par.  460a)  will  be  filed  therein  in  a  single  chronological 
sequence.  Additional  sheets  measuring  about  13  by  8  inches  for 
noting  the  occurrence  of  epidemic  diseases  (par.  201)  and  other  data 


134  MANUAL   FOR   THE    MEDICAL    DEPARTMEXT. 

of  general  and  sanitary  interest  will  be  inserted  as  occasion  requires 
at  their  proper  places  in  the  chionological  sequence.  The  prescribed 
record  of  the  ofRcial  indorsements  on  sanitary  reports  will  invariably 
be  made  on  the  duplicates  filed  in  the  medical  history. 

REPORTS  PERTAINING  TO  PERSONNEL. 

413.  Reports  and  returns  pertammg  to  the  personnel  of  the 
Medical  Department  are  considered  under  their  respective  headings 
in  Ai-ticle  I. 

SANITARY    REPORTS. 

414.  The  sanitary  reports  called  for  by  Army  Regulations  consti- 
tute a  record  of  the  sanitary  conditions  of  a  post  or  conmiand  month 
by  month  and  should  be  complete  either  in  themselves  or  by  refer- 
ence. A  duphcate  of  each  report  will  be  retained  with  the  medical 
records  of  the  post  or  command.  At  a  permanent  post  the  dupUcates 
will  be  filed  in  and  form  a  part  of  its  medical  history.     (See  par.  412.) 

415.  Important  changes  in  sanitary  conditions  occurring  during  the 
month  will  be  fully  described  in  the  monthly  report,  Form  50.  Wlien, 
however,  there  has  been  no  important  change  and  there  are  no  readily 
preventable  sanitary  defects  remainmg  uncorrected,  it  will  not  be 
necessary  to  report  in  full  imder  each  heading  of  the  form.  Under 
these  circumstances  a  general  statement  under  each  heading  should 
be  made,  referring  by  date  to  the  previous  reports  wliich  contam  more 
extended  mformation  on  the  subject.      (See  pars.  201  and  202.) 

416.  While  the  monthly  sanitary  reports  are  commonly  used  as  the 
form  of  communication  for  suggestions  requiring  administrative  action, 
the  medical  officer  may,  if  he  deshes,  make  important  recommendations 
the  subject  of  a  special  sanitary  report.  The  fact  that  such  a  special 
report  has  been  rendered  will  be  referred  to  on  the  next  monthly 
sanitary  report,  with  a  brief  note  as  to  its  contents.      (See  par.  182.) 

417.  When  a  regularly  authorized  sanitary  inspector  is  present  for 
duty  with  troops  in  the  field  the  monthly  sanitary  report  (Form  50) 
is  not  made  by  the  surgeons  of  regimental  and  other  similar  organiza- 
tions.    (See  par.  747a.) 

SURGICAL    REPORTS. 

418.  Not  later  than  two  weeks  after  the  close  of  the  calendar  year 
the  surgeon  of  every  permanent  post  within  the  jurisdiction  of  a 
department  commander  will  forward  to  the  department  surgeon  a 
surgical  report  on  Form  58  exhibiting  the  important  surgical 
o})erations  performed  at  that  post  during  the  preceding  year. 

419.  Similar  reports  will  be  made  from  general  hospitals,  recruit 
depots,  and  other  independent  posts  direct  to  the  Surgeon  General. 


REPORTS,   RETURNS,   AND   RECORDS.  135 

420.  Department  surgeons  will  consolidate  the  reports  received  by 
them  (separate  consolidations  being  made,  first,  for  officers  and  sol- 
diers, second,  for  civilians,  and  tliird,  for  Filipino  scouts)  and  forward 
-the  consolidated  reports  direct  to  the  Surgeon  General  with  their 
amiual  reports  (par.  370).  The  original  reports  received  from  posts 
will  be  forwarded  with  the  department  surgeon's  consohdated 
reports. 

speciaIj  reports  and  articles  for  publication. 

421 .  Wlien  a  medical  or  surgical  case  presents  unusual  or  interestmg 
features  a  special  report  of  the  same  will  be  forwarded  by  the  attend- 
ing surgeon,  through  medical  channels,  to  the  Surgeon  General. 
Copies  of  the  clinical  record  (pars.  407  to  411)  should  be  forwarded 
therewith.  '  •        - .     r 

422.  Special  reports  are  mvited  on  other  medical,  surgical,  and 
sanitary  subjects  which  appear  to  merit  their  preparation.  Wlien 
they  involve  only  professional  interests  they  should  be  forwarded, 
through  medical  channels,  to  the  Surgeon  General. 

423.  Medical  officers  will  not  publish  professional  papers  requiring 
reference  to  official  records  or  to  experience  gained  in  the  discharge  of 
their  official  duties  without  the  previous  authority  of  the  Surgeon 
General. 

REPORT    OF    MEDICAL    DEPARTMENT    PASSENGERS    ON 

TRANSPORTS. 

424.  Medical  superintendents  of  the  Army  transport  service,  on  the 
day  following  the  arrival  or  sailing  of  a  transport,  will  forward  direct 
to  the  Surgeon  General  a  passenger  list  of  the  personnel  of  the  Medical 
Department  aboard  the  vessel. 

REPORTS  AND  RECORDS  ON  ABANDONMENT  OF  POSTS. 

425.  When  a  post  is  abandoned  or  a  detachment  is  broken  up,  the 
medical  officer  will  report  the  fact  to  the  department  surgeon,  and 
after  completing  all  current  reports  will  forward  them  to  the  Surgeon 
General.  ''See  also  Army  Regulations:  Records — Care  and  preserva- 
tion of.) 

DISPOSITION    OF    OLD    RECORDS. 

426.  Registers  of  sick  and  womided  will  be  permanently  preserved. 
Other  records  and  retained  copies  of  reports  and  returns  kept  at 
mihtary  hospitals  will,  in  the  absence  of  specific  regulations  and 
orders  governing  their  disposition,  be  destroyed  after  five  years  from 
their  date.     (See  Army  Regulations:   Records.) 

(a)  Accumulations  of  obsolete  and  worthless  documents  at  mde- 
pendent  admmistrative  offices  of  the  Medical  Department  should  be 


186  MANUAL  FOR  THE   MEDICAL   DEPARTMENT. 

reported  every  few  years  to  the  Surgeon  General  with  a  view  to  obtain- 
ing authority  from  the  Secretary  of  War  for  their  destruction.  These 
reports  should  indicate  the  character  of  the  documents  in  question, 
their  date  or  period,  and,  if  known,  the  date  of  the  last  call  for  them. 

REGISTER    AND    REPORT    OF    SICK   AND    WOUNDED. 

THE    REGISTER. 

427.  A  full  record  of  the  sick  and  wounded  of  every  military  post 
or  station  and  separate  command  which  is  attended  by  a  medical 
officer  or  private  physician  will  be  made  on  register  cards,  Form  52 ; 
but  this  requirement  wiU  not  be  appUcable  in  time  of  war  to  troops 
or  commands  in  the  theater  of  operations,  except  camp  hospitals  (or 
field  hospitals  acting  as  such),  evacuation  hospitals,  base  hospitals 
and  other  immobile  sanitary  formations  on  the  line  of  communica- 
tions. (See  pars.  575  to  582.)  These  cards  collectivel}^  constitute 
the  register  of  patients,  and  a  case  carded  on  them  is  said  to  be  on 
the  register. 

(a)  The  commanding  officer  will  provide  the  surgeon  with  any 
information  the  latter  may  not  have  which  is  necessary  for  preparing 
and  completing  the  register. 

428.  A  register  card  will  be  made: 

(a)  For  every  person  admitted  to  the  hospital  for  treatment. 

(h)  For  every  officer  and  enlisted  man  with  the  command,  includ- 
ing retired  officers  and  soldiers  under  assignment  to  active  duty,  who, 
though  not  admitted  to  the  hospital,  is  excused  on  accomit  of  sick- 
ness or  injury  from  the  performance  of  his  military  duty,  or  of  some 
part  of  it,  such  as  attendance  on  certain  calls,  drills,  target  practice, 
mounted  duty,  etc. 

(c)  For  every  officer  and  enlisted  man  with  the  command  who, 
though  not  excused  from  duty,  is  prescribed  for  or  treated,  or  placed 
under  observation  witli  a  view  to  treatment  or,  in  the  case  of  an 
enlisted  man,  to  discharge  on  account  of  disability,  if  his  disabiUty  is 
of  such  a  character  as  to  have  a  probable  bearing  on  his  subsequent 
medical  history:  Provided,  That  a  case  once  carded  for  record  only 
under  this  provision  will  not  again  be  carded  for  record  only  on  the 
same  register  except  when  necessary  to  comply  with  the  provisions 
of  sections  (d),  (e),  (/),  and  (h)  of  this  paragraph.  For  example, 
every  case  of  venereal  disease  or  insanity,  or  suspected  venereal 
disease  or  insanity,  which  comes  under  observation  or  treatment, 
will,  unless  previously  on  the  register  or  otherwise  requin^d  to  be 
registered,  be  carded  for  record  only  under  this  provision. 

(c?)  For  every  officer  and  enlisted  man  with  the  command,  not  cur- 
rently on  the  register,  who  is  retired  or  discharged  for  disability,  or 
dies. 


REPORTS,   RETURNS,   AND  RECORDS.  137 

(e)  For  every  officer  and  enlisted  man  with  the  command,  not 
currently  on  the  register,  who  is  sent  to  another  station  or  command 
for  obsers^ation  or  treatment. 

(/)  For  every  officer  mth  the  command,  not  currently  on  the 
register,  who  departs  from  the  command  on  sick  leave. 

(g)  For  every  officer  and  enhsted  man  whose  case  is  received  by 
transfer  conformably  to  the  provisions  of  paragraphs  214  to  217. 

(h)  For  every  retired  officer,  retired  soldier,  former  officer,  or 
former  soldier  with  the  command  but  not  in  the  hospital  who  dies. 

429.  Except  as  required  by  paragraph  428  a  case  prescribed  for  but 
not  admitted  to  hospital  or  excused  from  duty  will  not  be  registered. 

430.  Cases  mider  treatment  by  the  dentist  ^\^ll  be  entesred  on  the 
register  of  sick  and  wounded  only  when  such  entry  is  required  by 
the  provisions  of  paragraph  428. 

431.  When  an  officer  or  soldier  sick  in  hospital  is  retired  from 
active  service,  whoUy  retired  from  service,  dismissed,  or  discharged, 
his  case  as  an  officer  or  soldier  will  be  closed  (par,  450)  and  a  new 
card  made  for  it  covering  his  contmuance  in  hospital  under  his  new 
status. 

(a)  If  an  applicant  for  enlistment  sick  in  hospital  is  sworn  in  as  a 
soldier,  his  case  as  a  civiUan  will  be  closed  and  a  new  card  made  for 
his  case  as  a  soldier. 

(h)  Appropriate  cross  references  from  the  old  to  the  new  cards,  and 
vice  versa,  will  be  made  in  these  cases. 

432.  The  register  cards  will  be  made  day  by  day  as  the  cases  are 
taken  up.  (See  pars.  208a  and  209.)  They  will  be  kept  in  two  files, 
the  current  file  and  the  permanent  file. 

(a)  The  current  file  will  consist  of  the  register  cards  of  uncompleted 
cases  arranged  in  dictionary  order  according  to  the  surnames  of  the 
patients.  It  constitutes  a  ready  index  to  aU  cases  currently  on  the 
register.  Cards  wih  be  transferred  from  the  current  file  to  the  per- 
manent file  immediately  upon  their  completion  and  the  preparation 
of  their  report  cards. 

(b)  The  permanent  file  wih  comprise  aU  the  register  cards  of  com- 
pleted cases.  The  cards  therein  wiU  be  filed  in  the  serial  order  of 
their  register  numbers. 

(c)  A  card  index  to  the  register  will  be  kept  on  Form  52a,  one 
index  card  for  each  individual  patient  whose  name  appears  in  the 
register.  When  a  register  card  is  started  and  its  number  determined 
the  index  wQl  be  searched  for  previous  admissions  of  the  patient. 
If  an  index  card  for  the  patient  is  found,  the  new  number  will  be 
entered  thereon,  and  the  number  of  the  last  previous  admission  will 
be  noted  on  the  new  register  card  (par.  443).  If  no  index  card  for 
the  patient  is  found,  one  wiU  be  at  once  prepared.  The  index  cards 
wiU  be  filed  alphabetically  in  dictionarj^  order  according  to  the  sur- 
names of  the  patients. 


138  MANUAL  FOR  THE   MEDICAL   DEPARTMEXT. 

433.  Cases  taken  up  on  register  cards  should  be  borne  thereon 
until  tinally  disposed  of.     (See  par.  450.) 

434.  The  cards  will  be  legibly  '\^Titten  in  mdelible  black  ink,  using 
the  typewriter  when  practicable. 

(a)  Entries  must  not  be  crowded.  When  the  space  provided  on 
the  front  of  the  card  under  any  heading  is  not  sufficient  to  complete 
an  entry  thereunder,  the  record  thereof  will  be  continued  on  the 
back  of  the  card,  or,  if  still  more  space  is  required,  upon  an  extension 
slip.  The  extension  shp  must  be  of  the  same  size  as  the  card,  and 
be  pasted  to  the  lower  margin  of  the  back  of  the  card,  ushig  about 
one-half  an  inch  for  the  seam;  this  will  place  the  seam  at  the  top  of 
the  card  when  the  latter  is  filed.  Wlien  an  entry  is  contmued  its  two 
parts  should  be  comiected  by  cross  references,  using  a  small  letter  in 
parenthesis,  thus,  (a),  so  that  the  record  can  be  readily  followed. 

435.  The  senior  medical  officer  is  responsible  for  the  correctness  and 
safe-keeping  of  the  register.  He  will  sign  or  mitial  all  register  cards 
completed  durmg  the  period  of  his  responsibility;  but  at  general 
hospitals  or  brigade  posts,  or  when  specially  authorized  by  the 
Surgeon  General,  he  may  designate  one  or  more  junior  medical  officers 
to  sign  or  initial  them,  preferably  in  each  case  the  officer  in  attend- 
ance thereon. 

(a)  Wlien,  in  the  absence  of  a  medical  officer,  the  command  is 
attended  by  a  civihan  physician,  he  will  sign  the  cards  for  the  cases 
completed  under  his  care. 

436.  Alterations  and  additions  when  necessary  to  correct  or  com- 
plete the  record  may  be  made  in  the  register  cards  of  uncompleted 
cases  at  the  discretion  of  the  senior  medical  officer  of  tlie  command 
for  the  time  being.  A  change  of  diagnosis  will  be  indicated  hi  the 
space  "  comphcation,  seq.,  etc.,"  givuig  the  date  of  the  change,  and 
the  origmal  entry  under  "cause  of  admission"  will  not  be  distm'bed. 
A  change  of  diagnosis  in  such  cases  requnos  no  authentication,  as 
its  date  places  the  responsibility  for  it.  Other  changes  sliould  be 
authenticated  by  the  initials  of  the  officer  who  makes  them.  (See 
par.  213.) 

(a)  Alterations  and  additions  to  the  register  cards  of  completed 
cases  may  be  made  in  hke  maimer  by  the  medical  officer  who  was 
responsible  for  the  card  at  the  tune  it  was  completed  if  he  is  still 
the  senior  medical  officer  of  the  command.  If  he  has  been  superseded 
the  card  will  not  be  changed,  but  a  successor  who  concludes,  upon 
mformation  received,  that  the  card  is  erroneous  m  any  particular 
may  file  a  supplemental  card  therewith  of  the  same  size  as  the  regis- 
ter card,  indicating  thereon  such  conclusion  and  the  information  or 
reasons  upon  which  it  is  based.     The  supplemental  card  should  bo 

headed  "Su])plemontal  card,  No. ,"  inserting  the  register  number 

of  the  register  card,  and  should  be  dated  and  signed  by  the  officer 


EEPOirrS,    RETURNS,   AND    RECORDS.  139 

filing  it.  A  cross  reference  to  the  supplemental  card  identifying  it 
by  its  date  may  appear  upon  the  register  card,  but  it  will  be  a  refer- 
ence only,  thus,  "See  supplemental  card  dated ,"  and  contain 

none  of  the  matter  recorded  on  the  supplement.  (See  pars.  462,  463, 
and  464.) 

DIRECTIONS    FOR    PREPARING   REGISTER    CARDS. 

(See  pars.  208  to  213.) 

437.  Name. — Name  should  be  correctly  and  legibly  written. 
Initial  letters  or  abbreviations  may  be  used  for  middle  names  only. 

438.  Rank,  company,  and  regiment  or  staff  corps. — The  usual  abbre- 
viations may  be  employed. 

{a)  Changes  in  the  patient's  rank,  company,  and  regiment  or  corps 
while  his  case  is  current  on  the  register  wiJl  be  recorded  in  this  space, 
givmg  dates  of  changes. 

(6)  If  the  patients  are  discharged  soldiers,  apphcants  for  enlist- 
ment, or  members  of  the  Organized  Militia,  those  facts,  respectively, 
will  be  set  forth  on  their  cards  under  this  heading,  giving  in  the  case 
of  former  soldiers  the  organization  to  which  the}^  last  belonged,  and 
in  the  case  of  militiamen  their  militia  organization.  Other  civilians 
should  be  designated  simply  as  civilians. 

439.  Age,  years. — The  age  at  birthday  nearest  to  date  admitted  is 
required. 

440.  Race.—UsQ  "W,"  ''C,"  ''F,"  'T.  R,"  ^' I,"  meaning  "white," 
"colored,"  "Filipino,"  "Porto  Eican,"  or  "Indian." 

441.  Nativity. — Place  of  birth;  give  State,  if  a  native;  country,  if 
foreign.     Usual  abbreviations. 

442.  Service,  years. — Give  length  of  service  to  date  of  admission, 
in  years  and  fractions  thereof,  whether  contmuous  or  not. 

443.  Register  No. — Every  card  will  have  a  number  for  convenience 
of  reference.  These  numhers  will  be  consecutive  and  will  be  carried 
forward  indefinitely.  In  order  that  the  medical  history  of  a  patient 
may  be  more  readily  traced,  his  last  previous  register  number,  if  he 
has  previously  had  a  register  card  at  the  post,  should  be  entered  imme- 
diately before  his  current  number. 

(a)  So  long  as  a  field  command,  attended  by  a  medical  officer  or 
private  physician,  is  unattached  to  a  permanent  station,  or  its  hos- 
pital or  infirmary  is  not  discontinued  by  consolidation  with  that  of 
another  command,  its  register  cards  should  be  numbered  continu- 
ously without  regard  to  the  various  changes  of  its  location. 

444.  Date  of  admission.— \Jnder  date  of  admission  give  the  day, 
month,  and  year  the  case  is  taken  up.  Figures  should  not  be  used  to 
designate  the  month. 

445.  Source  of  admission. — Indicate  in  this  space  the  source  from 
which  the  patient  was  directly  received.     Officers  and  enlisted  men  of 


140  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

the  command  are  generally  admitted  "From  command;"  but  may  be 
"From  desertion,"  etc.  In  the  case  of  a  casual,  the  name  of  his 
proper  station  should  be  given,  in  addition  to  the  place  from  which 
he  was  directly  received,  thus,  e.  g.:  "Casual  from  command,  proper 
station,  Fort  A;"  or  "Casual  from  S.  S.  Southland,  from  Norfolk,  Va., 
proper  station,  Fort  B."  In  the  case  of  an  original  admission  from 
a  passuig  or  other  command  which  is  unaccompanied  by  a  medical 
officer  the  fact  should  be  recorded,  thus,  e.  g.:  "Detachment,  Twelfth 
Infantry,  en  route  A  to  B,  unaccompanied  by  a  medical  officer." 

(o)  In  the  case  of  a  patient  received  by  transfer  from  another  hos- 
pital or  command  (pars,  214  to  217)  the  name  of  such  hospital  or 
command  wiU  be  given,  with  the  date  of  the  original  entry  of  the  case 
and  its  register  number  on  the  register  thereof,  if  known. 

(6)  The  following  additional  notations  will  be  made  in  parentheses 
in  this  space: 

1.  In  cases  taken  up  under  section  (c),  paragraph  428 — (Carded  for 
record  only:  under  treatment  [or  observation]  but  not  excused  from 
duty). 

2.  In  cases  taken  up  under  section  {d) — (Carded  for  record  only; 
not  currently  on  the  register). 

3.  In  cases  taken  up  under  section  {e) — (Carded  for  transfer  only; 
on  full  duty  while  with  command) . 

4.  In  cases  taken  up  under  section  (/) — (Carded  for  record  of  sick 
leave  only;  on  fuU  duty  while  with  command). 

446.  Cause  of  admission. — Give  the  name  of  the  disease  and  its 
location  if  it  is  localized;  or  in  case  of  injury,  its  cause,  location, 
character,  and  severity,  with  the  attending  circumstances,  date  of 
occurrence,  and  nature  of  missile,  weapon,  or  other  producing  agent. 
Wlien  the  patient  has  two  or  more  diseases  or  injuries  at  the  time  of 
admission,  each  of  them  will  be  recorded  under  this  head.  Should 
the  original  disability,  or,  if  there  is  more  than  one,  should  any  of 
them,  be  cured  before  the  final  disposition  of  the  patient,  the  fact 
and  date  of  such  cure  will  also  be  stated  in  this  space.  In  the  case 
of  a  patient  received  })y  transfer  the  diagnosis  made  at  the  receiving 
liospital  will  be  recorded.  If  this  diagnosis  differs  from  that  on  the 
transfer  card,  tlie  add itional  entry  will  be  made.  ' '  Diagnosis  on  trans- 
fer card  not  concurred  in. ' '     (See  pars.  455  and  456.) 

(a)  In  entering  causes  of  admission  distinction  should  be  made 
between  the  primary  or  remote  cause  and  tlie  exciting  or  proximate 
cause,  the  latter  being  regarded  as  the  cause  of  admission  within  the 
meaning  of  this  paragraph.  For  example,  cydoplegia  jn'oduced  for 
the  purpose  of  measuring  a  refractive  error  should  be  recorded  as  tlie 
cause  of  admission,  rather  than  the  refractive  error  itself,  wliich 
should  be  mentioned  in  brackets.  So  also,  in  a  case  admitted  for 
operation  to  cure  or  correct  a  congenital  or  other  defect,  as,  for  exam- 


REPORTS,  RETURNS,   AND   RECORDS.  141 

pie,  hammertoe  or  phimosis,  no  pathological  eonditiou  being  present 
which  would  of  itself  require  admission,  the  purpose  to  operate  is  the 
cause  of  admission  and  should  be  so  recorded  by  the  words,  "For 
operation,"  indicating  the  defect  in  brackets.  It  is  necessary  to 
observe  this  distinction  with  care,  to  assure  proper  determination  of 
the  question  whether  the  actual  cause  of  admission  shall  be  recorded 
as  in  the  line  of  duty  or  not.     (See  par.  448.) 

447.  The  place  of  treatment,  quarters  or  hospital,  and  the  dates  of 
changes  from  the  one  to  the  other,  will  be  indicated  in  the  cause  of 
admission  space. 

448.  In  line  oj  duty. — Herein  will  be  recorded,  in  the  case  of  every 
officer  or  enlisted  man  on  the  active  list,  and  of  every  officer  and 
enlisted  man  on  the  retired  list  who  is  for  the  time  being  serving 
imder  an  assignment  to  active  duty,  the  opinion  of  the  medical  offi- 
cer, based  on  a  full  consideration  of  all  the  facts,  as  to  whether  the 
cause  of  admission  was  incurred  in  the  line  of  duty,  it  being  under- 
stood that  the  entry  relates  to  the  immediate  cause  of  admission  as 
defined  in  paragraph  446«,  and  not  to  the  remote  cause.  If  the 
patient  has  two  or  more  diseases  or  injuries  at  the  time  of  admission, 
an  opinion  as  to  line  of  duty  will  be  separately  recorded  for  each.  In 
forming  and  recording  his  opinion  on  this  point  the  medical  officer 
will  be  guided  by  the  following  instructions: 

{a)  All  diseases  or  injuries  from  which  an  officer  or  enlisted  man 
suffers  while  in  the  military  service  of  the  United  States  may  be 
assumed  to  have  occurred  in  the  line  of  duty,  unless  the  surgeon 
knows:  First,  that  the  disease  or  injury  existed  before  entering  the 
service;  second,  that  it  was  contracted  while  absent  from  duty  with- 
out permission;  or,  third,  that  it  occurred  in  consequence  of  willful 
neglect  or  immoral  conduct  of  the  man  himself.  When  the  patient 
is  admitted  for  an  operation  or  procedure  which  is  designed  to 
improve  his  physical  fitness  or  efficiency  for  the  military  service, 
such  operation  or  procedure  will  be  recorded  as  in  the  line  of  duty, 
without  reference  to  the  fact  whether  the  condition  to  be  remedied 
originated  in  the  line  of  duty  or  not,  provided  that  the  primary  cause 
is  not  the  result  of  the  patient's  own  misconduct. 

(6)  When  a  soldier  is  disabled  while  absent  with  leave,  the  ques- 
tion of  line  of  duty  must  be  determined  by  the  circumstances  attend- 
ing the  incurrence  of  the  disability,  but  the  fact  of  being  so  absent 
should  be  stated. 

(c)  When  a  medical  officer  expresses  the  opinion  that  an  injury 
occurring  during  athletic  sports,  properly  indulged  in,  was  received 
in  the  line  of  duty,  the  opinion  is  accepted  by  the  Surgeon  General 
as  satisfactory  and  final. 

{d)  In  all  cases  in  which  the  opinion  is  expressed  by  "no,"  and  in 
cases  of  venereal  diseases  by  "yes,"  the  circumstances  attending  the 


142  MAXUAL   FOR   THE    MEDICAL   DEPABTMENT. 

incidence  of  the  disability,  and  on  wliicli  the  opinion  is  based,  slionld 
})e  stated  under  the  diagnosis. 

449.  Complications,  seq.,  etc. — Herein  will  be  recorded  complica- 
tions and  intercurrent  diseases  appearmg  subsequent  to  admission, 
surgical  operations,  and  changes  of  diagnosis.  The  date  will  be  given 
in  each  instance. 

(a)  When  the  intercurrent  disability  subsequently  appearing  is  in 
no  way  dependent  on  the  primary  affection,  the  medical  officer  will 
record  in  this  space  his  opinion  as  to  whether  it  originated  in  the  liso 
of  duty,  with  such  explanatory  remarks  as  may  be  necessary.  Should 
it  be  cured  before  the  final  disposition  of  the  patient  the  fact  and 
date  of  cure  will  also  be  recorded  here. 

(b)  Upon  recording  a  change  of  diagnosis  the  medical  officer  will 
also  record  in  this  space  his  opinion  whether  the  disability  as  diag- 
nosed by  him  originated  in  the  line  of  duty,  with  appropriate  explana- 
tory remarks  when  necessary. 

(c)  In  recording  a  surgical  operation  its  character  will  be  briefly 
described,  using  as  far  as  practicable  the  commonly  accepted  name 
for  it.     The  word  "operation"  alone  is  not  sufficient. 

450.  Disposition.— ilerem  record  the  completion  of  ihe  case  by 
entry  specifying  the  method  of  its  completion.  Return  to  duty  is 
always  a  completion  of  the  case,  including  cases  registered  under  the 
provisions  of  paragraph  428c.  Transfer  to  another  hospital  (par. 
214)  completes  the  case  on  the  medical  records  of  the  transferring 
hospital  or  command.  Cases  of  officers  and  soldiers  are  completed 
by  capture  or  any  change  in  their  military  status  which  separates 
them  from  the  active  list  of  the  Army,  such  as  death,  desertion, 
retirement,  resignation,  dismissal,  or  discharge  from  the  service. 
(See  par.  431.)  Cases  of  officers  and  enlisted  men  on  the  retired  lists 
and  of  civilians  registered  upon  their  admission  to  hospital  con- 
formably to  the  provisions  of  paragraph  428a  are  completed,  so  far 
as  the  register  is  concerned,  by  their  departure  from  hospital,  r 

(a)  When  a  patient  departs  from  the  command  or  hospital  on 
ordinary  or  sick  leave  or  furlough  his  card  will  be  completed  by  apprgs- 
priate  record  of  such  departure,  with  a  statement  as  to  whether  the 
cure  was  complete  or  not.  Should  he  resume  the  status  of  sick  upon 
his  return  from  leave  or  furlough  his  case  will  be  registered  anew. 
I  (&)  Register  cards  made  for  record  only  under  paragraph  428c,  the 
patient  not"  liaving  been  excused  from  duty,  should  be  completed  at 
once,  regardless  of  the  continuance  of  treatment  or  observation,  by 
entering  ' '  Doing  full  duty ' '  under  this  head  and  repeating  the  date 
in  the  date  of  disposition  space.  Should  the  provisions  of  sections 
(a),  {})),  (d),  (e),  if),  or  (h),  paragraph  428,  become  applicable  during 
continued  treatment  or  observation,  or  subsequently,  the  case  will 
again  be  registered  in  conformity  therewith. 


REPORTS,    RETURNS,   AND   RECORDS.  143 

(c)  Cases  of  death,  and  of  retirement  or  discharge  for  disalMhty, 
carded  under  the  provisions  of  paragrapli  428^,  will  be  completed  at 
once  by  entry  in  this  space  specifying  the  nature  of  the  casualty. 

(d)  In  case  of  death,  the  fact  of  death,  the  general,  determining, 
and  all  contributing  causes  of  the  death,  and  the  result  of  the  autopsy, 
if  one  was  held,  will  be  recorded  in  this  space ;  also  a  statement  whether 
the  cause  of  death  originated  in  the  service  and  in  the  line  of  duty, 
with  an  explanation  of  tlie  circumstances  upon  which  the  opinion  if 
negative  is  based.  Should  the  cause  of  death  in  any  case  be  un- 
known, a  brief  note  of  such  circumstances  as  may  throw  light  upon 
the  subject  will  be  entered.  In  case  of  suicide  the  cause  or  causes 
which  led  to  the  act  will  be  stated. 

(e)  In  case  of  retirement  or  discharge  on  account  of  wounds  or 
disease,  the  fact  of  retirement  or  discharge  on  such  account,  and  the 
cause  and  the  degree  of  the  disability  will  be  recorded  under  this 
head.  If  the  cause  was  some  other  disability  than  that  for  which  the 
patient  was  admitted,  statement  should  be  made  whether  it  originated 
in  the  line  of  duty.  Wlien  the  opinion  expressed  is  "no,"  the  circum- 
stances attending  the  incidence  of  the  disability  and  on  which  the 
negative  opinion  is  based  should  be  recorded. 

(/)  The  cases  of  patients  who  are  retired  from  active  service,  or 
wholly  retired  or  discharged  from  the  service,  by  order,  sentence, 
operation  of  law,  or  expiration  of  term,  should  be  completed  by  entry 
specifying  such  fact;  and  a  statement  should  be  made  of  the  degree 
of  disability  due  to  the  complaint  for  which  the  individual  was  under 
treatment  at  the  time  of  his  separation  from  the  service,  unless  it  was 
unquestionably  not  received  in  the  line  of  duty. 

(g)  The  cases  of  officer  patients  who  depart  from  the  hospital  or 
command  in  obedience  to  orders  to  proceed  to  their  homes  and  await 
retirement  will  be  completed  upon  such  departure  by  recording  the 
fact  thereof  and  its  date. 

(h)  When  the  disease  or  injury  causing  death  or  discharge  has  been 
aggravated  by  the  willful  and  persistent  refusal  of  the  patient  to  sub- 
mit to  such  reasonable  restrictions,  methods  of  treatment,  or  surgical 
operations  as  would,  in  the  opinion  of  the  medical  officer,  have  con- 
duced to  the  cure  or  to  the  lessening  of  the  disability,  the  fact  should 
be  noted. 

(i)  When  a  patient  is  returned  to  duty  the  entry  "duty"  will 
suffice,  the  cure  being  assumed  to  be  complete  unless  a  statement 
to  the  contrary  is  entered. 

(7)  In  case  of  transfer  to  another  hospital  or  command,  the  specific 
destination  of  the  patient  should  be  stated. 

(k)  Desertion  is  final  disposition  of  the  case  and  the  card  should 
be  completed  accordingly.  Should  the  deserter  come  again  under 
military  control  and  resume  the  status  of  s^ck,  a  new  card  will  be  made 
for  him  as  for  a  new  case,  conformably  to  the  general  rule. 


144  MANUAL  FOR    THE   MEDICAL  DEPARTMENT. 

461.  Bate  oj  disposition. — Give  day,  month,  and  year  of  disposition. 
Figures  should  not  be  used  to  designate  months.  In  all  cases  of  dis- 
charge on  certificate  of  disability  the  date  of  discharge  as  given  in  the 
letter  of  notification  from  the  adjutant  will  be  recorded. 

452.  Name  of  hospital,  etc. — Enter  in  this  space  on  every  register 
card  the  designation  of  the  hospital,  establishment,  or  organization 
to  which  the  register  pertains,  and  its  location  or  locations  during  the 
period  covered  by  the  card.     Spaces  19  and  20  ("Sent  with  report  of 

S.  &  W.  for  the  month  of "  and  "from")  need  not  be  filled 

out  on  the  register  card. 

453.  Classification. — Spaces  22,  23,  24,  and  25  at  the  bottom  of  the 
face  of  the  card  are  for  the  use  of  the  Surgeon  General's  Office  only, 
and  will  not  be  filled  out  on  the  register  or  report  cards. 

454.  Space  26,  "Days  of  treatment  in  current  case"  on  back  of 
card  will  be  filled  out  month  by  month  on  the  register  card,  extending 
the  table  as  may  be  necessary  for  cases  remaining  from  one  year  to 
another.  The  day  of  admission  will  be  counted  as  a  day  of  treatment 
in  every  case.  The  day  of  return  to  duty  will  iidt  be  counted  as  a 
day  of  treatment.  The  day  of  disposition  for  all  other  cases  under 
treatment  will  be  counted  as  a  day  of  treatment,  except  for  patients 
transferred  to  a  station  or  hospital  in  the  near  vicinity  who  should 
arrive  at  such  station  or  hospital  on  the  same  day. 

NOMENCLATURE     OF     DISEASES     AND     RULES     FOR     RECORDING     DISA- 
BILITIES. 

456.  Diseases  and  mjuries  will  be  recorded  on  the  register  m  accord- 
ance with  the  following  nomenclature  of  diseases.  When  diseases 
or  injuries  occur  for  which  no  terms  are  furnished  in  the  table  of 
nomenclature  or  for  which  the  terms  furnished  are  general  in  char- 
acter, they  will  be  recorded  under  such  scientific  terms  commonly 
applied  to  them  by  the  profession  as  will  briefl}^  and  accurately 
describe  them. 

(a)  The  numbers  and  terms  used  as  the  headmgs  in  this  table, 
although  in  some  cases  not  classified  m  accordance  with  the  latest 
medical  knowledge,  are  those  mcluded  m  the  international  table  of 
nomenclature  which  is  adopted  for  uniformity  of  tabulation.  The 
subheads  are  grouped  under  these  headings  largely  in  accordance  with 
the  order  followed  b}^  the  Census  Office  and  by  the  Bellevue  Hospital 
nomenclature. 

I. — Gkneral  Diseases. 
1.  Typhoid  fever. 

la.  Typhoid  fever. 

lb.  Typhoid  bacilhis  carrier. 

Ic.  Typhoid  vaccination. 
IJ.  Paratyphoid  fever. 


EKPOKTS,   RETURNS,   AND   RECORDB.  l^^S 

2.  Tj-phus  fever. 

3.  Relapsing  fever. 

4.  Malaria. 

4a.  Aestivo-aiitumnal. 

4b.  Malarial  cachexia. 

4c.  Quartan  '' 

4d.  Tertian. 

4e.  Undetermined. 

5.  Smallpox. 

5a.  Variola.  ,  '    _     .  „ 

5b.  Vaccinia.  .kJ.M  IfinuuobdA     ... 

,-        .     ,     .   1  a,r.r  ,...',U   ^-     i  tl  ,' I  T. 

5c.  Varioloid. 

6.  Measles.  lo  siaoli/'n 

7.  Scarlet  fever. 

8.  Whooping  cough. 

9.  Diphtheria.  .iif^toeJ*i 
10.  Influenza. 

12.  Asiatic  cholera. 

13.  Cholera  nostras. 

14.  Dysentery. 

14a.  Bacillary. 

14b.  Entamoebic. 

14c.  Unclassified.     (State  kind  if  detemiined.', 

15.  Plague. 

16.  Yellow  fever.  '■' 

17.  Leprosy. 

18.  Erysipelas. 

19.  Other  epidemic  diseases. 

19a.  Cliickenpox. 

19b.  Dengue. 

19c.  Filariasis.     (State  species  and  lesion.) 

19d.  Gennan  measles. 

19e.  Hemoglobinuric  fever. 

19f.   Malta  fever. 

19g.  Mumps. 

19h.  Yaws. 

19i.   Epidemic  diseases  not  specified. 

20.  Purulent  infection  and  septicemia. 

20a.  Aerogenes  capsulatus  infection. 
20b.  Septicemia. 
20c.  Pyemia. 

21.  Glanders. 

22.  Anthrax.  ' 

23.  Rabies. 

24.  Tetanus. 

25.  Mycoses. 

9^o      Act.inoTnvroRiq.  '''■   •**''■ 

-r     rfrK 


25b.  Aspergillosis. 
25c.  Blastomvcosis. 
25d.  Pityriasis  versicolor. 
25e.  Other  mycotic  diseases. 

26.  Pellagra. 

27.  Beriberi. 

93440°— 17— ^10 


146  MANUAL  FOE   THE    MEDICAL   DEPARTMENT. 

28.  Tuberculosis  of  the  lungs. 

28a.  Tuberculosis  of  larynx. 
28b.  Tuberculosis  of  pleura. 
28c.  Tuberculosis,  pulmonary,  rhronic. 

29.  Miliary  tuberculosis,  acute. 

29a.  Tuberculosis,  broncho  pneumonic,  acute. 

29b.  Tuberculosis,  general,  acute. 

29c.  Tuberculosis,  pneumonic,  acute. 

29d.  Tuberculosis,  pulmonary  miliary,  acute. 

30.  Tuberculous  meningitis. 

31.  Abdominal  tuberculosis. 

32.  Pott's  disease. 

Tuberculosis  of  vertebra, 

33.  WTiite  swelling. 

Tuberculosis  of  joints.     (State  location.) 

34.  Tuberculosis  of  other  organs.     (State  organ  involved.) 

36.  Rickets. 

Scoliosis. 

37.  Syphilis. 

37a.  Hereditary, 

37b.  Primary. 

37c.  Secondary. 

37d.  Tertiary. 

37e.  Period  not  determined. 

37f,   Syphilis  acquired  nonvenereally. 
38A.  Soft  chancre. 

38Aa.  Chancroid. 

38Ab.  Chancroidal  bubo. 

38Ac.  Chancroidal  phimosis. 
38B.  Gonococcus  infection. 

38Ba.  Gonorrheal  arthritis. 

38Bb.  Gonorrheal  bubo. 

38Bc.  Gonorrheal  diseases  of  eye. 

38Bd.  Gonorrheal  epididymitis. 

38Be.  Gonorrheal  urethritis. 

38Bf.   Urethral  stricture. 

38Bg.  Other  effects  of  gonorrheal  infection. 

39.  Cancer  and  other  malignant  tumors  of  the  buccal  cavity. 

40.  Cancer  and  other  malignant  tumors  of  the  stomach  and  liver. 

41.  Cancer  and  other  malignant  tumors  of  the  peritoneum,  intestines,  and  reef  um. 

44.  Cancer  and  other  malignant  tumors  of  the  skin. 

45.  Cancer  and  other  malignant  tumors  of  other  organs  and  of  organs  not  specified. 

(Under  39-45,  specify  whether  carcinoma,  epithelioma,  or  sarcoma.) 

46.  Other  tumors  (tumors  of  the  female  genital  organs  excepted). 

Benign  tumors.     (State  structure  involved  and  character  of  tiunor.) 

47.  Acute  articular  rheumatism. 

47a.  Rheumatic  fever,  acute. 
47b.  Rheumatic  fever,  subacute. 

48.  Chronic  rheumatism  and  gout. 

48a.  Articular  rheumatism,  chronic. 
48b.  Gout. 

48c.  Arthritis  deformans. 
50.  Diabetes. 

50a.  Diabetes  mellitus. 
50b.  Glycosuria. 


RErORTS,  RETURNS,   AMD   RECORDb.  147 

51.  Exophthalmic  goiter. 

52.  Addison's  disease. 
63.  Leukemia. 

53a.  Hodgkin'a  disease. 
53b.  Leukemia. 

54.  Anemia,  chlorosis. 

5-ia.  Pernicious  anemia. 

54b.  Simple  anemia  (cause  indefinite). 

54c.  Splenic  anemia,  chronic. 

55.  Other  general  diseases. 

55a.  Diabetes  insipidus. 
55b.  Hemophilia. 
55c.  Obesity. 
55d.  Purpura. 

55e.  Other  general  diseases  not  specified. 
66.  Alcoholism  (acute  or  chronic). 
56a.  Alcoholism,  acute. 
56b.  Alcoholism,  chronic. 
56c.  Delirium  tremens. 
56d.  Psychosis  polyneuritica  (Korsakoff 's  syndrome). 

57.  Chronic  lead  poisoning. 

58.  Other  chronic  occupation  poisonings.     (State  kind.) 

59.  Other  chronic  poisonings. 

59a.  Drug  habit.     (Specify  drug.) 
59b.  Other  chronic  poisoning. 

II. — Diseases  of  the  Nervous  System  and  of  the  Organs  of  Special  Sense. 

60.  Encephalitis. 

60a.  Abscess  of  brain. 
60b.  Encephalitis,  acute. 

61.  Simple  meningitis. 

61  A.  Including  cerebrospinal  fever. 

Epidemic  cerebrospinal  meningitis. 

62.  Locomotoi'  ataxia. 

63.  Other  diseases  of  the  spinal  cord. 

63a.  Anterior  poliomyelitis,  acute. 

63b.  Multiple  spinal  sclerosis. . 

63c.  Myelitis.     (State  kind.) 

63d.  Progressive  muscular  atrophy. 

63e.  Spastic  paralysis  of  adults. 

63f.    Other  spinal-cord  diseases  not  spe<  "   ed. 

64.  Cerebral  hemorrhage;  apoplexy. 

66.  Paralysis  without  specified  cause. 

66a.  Hemiplegia,  old. 

66b.  Paralysis  of .     (State  nerve.)     (Do  not  use  ae  a  primary  diagnosis 

when  cause  can  be  determined.) 
66e.  Paraplegia  ataxic. 

67.  General  paralysis  of  the  insane. 

68.  Other  forms  of  mental  alienation. 

68a.  Defective  mental  development. 
68b.  Constitutional  psychopathic  state. 
68c.  Dementia  arterio  sclerotic. 
68d.  Dementia  precox. 
68e.  Dementia  (cause  unknown). 


148  MANUAL   FOR   THE   MEDICAL  DEPARTMENT. 

68.  Other  forms  of  mental  alienation — Continued. 

68f.  Hypochondriasis. 

68g.  Melancholia  involutional. 

68h.  Nostalgia. 

68i.  Paranoia. 

68j.  Paranoid  states. 

08k.  Psychasthenia. 

681.  Psychosis  exhaustive,  infective,  and  toxic. 

68m.  Psychosis  intoxication. 

68n.  Psychosis,  manic  depress^ive. 

68o.  Psychosis,  traumatic. 

68p.  Variety  of  insanity  not  ascertained. 

69.  Epilepsy. 

69a.  Epilepsy. 

69b.  Psychosis  epileptic. 

72.  Chorea. 

73.  Neuralgia  and  neuritis. 

73a.  Neuralgia.     (State  nerve.) 

73b.  Neuritis.     (State  nerve.) 

73c.  Multiple  neuritis. 

73d.  Hysteria. 

73e.  Psychosis,  hysterical. 

74.  Other  diseases  of  the  nervous  system. 

74a.  Angioneurotic  edema. 

74b.  Epilepsy,  Jacksonian.  ■ 

74c.  Hiccough.     (Do  not  use  as  a  primary  diagnosis  when  cause  can  be 

determined.) 
74d.  Migraine. 
74e.  Neurasthenia. 

74f.  Psychosis  due  to  organic  brain  disease. 
74g.  Diseases  of  nervous  system  not  specified. 

75.  Diseases  of  the  eyes  and  their  annexa. 
75A.  Follicular  conjunctivitis. 

75Aa.  Conjunctivitis,  acute. 

75Ab.  Conjunctivitis,  chronic. 

75Ac.  Conjunctivitis,  follicular. 

75Ad.  Conjunctivitis,  phlyctenular. 
75B.  Trachoma. 
75C.  Other  diseases  of  the  eyes  and  their  annexa. 

75Ca.  Amaurosis. 

75Cb.  Amblyopia. 

75Cc.  Asthenopia. 

75Cd.  Astigmatism. 

75Ce.  Bley)haritis. 

75Cf.  Cataract. 

75Cg.  Chalazion. 

75Ch.  Choroiditis. 

75Ci.  Dacryocystitis. 
.   75Ck.  Glaucoma. 

75C1.  Hordeolum. 

75Cm.  Hypermetro]r>ia. 

75Cn.  Iritis. 

75Co.  Keratitis. 

75Cp.  Myopia. 


"REPORTS,   RETURNS,    AND   RECORDS.  149 

75C.  Other  diseases  of  the  eyes  and  their  aunexa— Oontiuued. 
750q.  Optic  neuritis. 
75Cr.  Panophthalmitis. 
75Cs.  Presbyopia. 
75Ct.  Pterygium. 
75Cu.  Retinitis. 
75Cv.  Sclerotitis. 
75Cw.  Snow  blindness. 
75Cx.  Diseases  of  the  eye  and  annexa,  not  spe(nfied. 

76.  Diseases  of  the  ears. 

76a.  Cerumen,  accumulation  of. 

76b.  Otitis  externa. 

76c.  Otitis  interna. 

76d.  Otitis  media. 

76e.  Other  diseases  of  the  ear. 

III.— Diseases  of  the  Circulatory  System. 

77.  Pericarditis. 

78.  Aciite  endocarditis. 

78a.  Endocarditis,  acute. 
78b.  Myocarditis,  acute. 

79.  Organic  diseases  of  the  heart. 

79a.  Cardiac  dilatation. 
79b.  Cardiac  hypertrophy. 
79c.  Endocarditis,  chronic. 
79d.  Myocarditis,  chronic. 
79e.  Valvular  heart  disease. 
79f .  Other  diseases  of  the  heart. 

80.  Angina  pectoris. 

81.  Diseases  of  the  arteries,  atheroma,  aneurysm,  etc. 

81a.  Aneurysm. 

81b.  Arterial  sclerosis. 

82.  Embolism  and  thrombosis. 

82a.  Embolism. 
82b.  Thrombosis. 

83.  Diseases  of  the  veins  (varices,  hemorrhoids,  phlebitis,  etc.). 

83a.  Phlebitis. 

83b.  HemoiThoids.  ,i -.,!'.  1. 

83c.  Varicose  iilcer. 

83d.  Varicose  veins. 

83e.  Varicocele. 

84.  Diseases  of  the  lymphatic  system  (lymphangitis,  etc.). 

84a.  Lymphadenitis  (nonvenereai;). 

84b.  Ivymphangitis  (non venereal"). 

84c.  Other  diseases  of  the  lymphatic  system. 

85.  Tlemon-hage;  other  diseases  of  the  circulatory  system. 

85a.  Bradycardia. 

85b.  Cardiac  palpitation.     (Do  not  use  as  a  primary  diagnosis  when  cause 

can  be  determined.) 
85c.  Epistaxis. 
85d.  Tachycardia.     (Do  not  use  as  a  primary  diagnosis  when  cause  can 

be  determined.) 
85e.  Other  diseases  of  the  circulatory  system,  not  specified. 


150  MANUAL   FOR   THK   MEDICAL  DEPARTMENT. 

IV. — Diseases  of  the  Respiratury  System. 

86.  Diseases  of  the  nasal  fossae. 

86a.  Rhinitis,  acute. 

86b.  Rhinitis,  atrophic. 

86c.  Rhinitis,  hypertrophic. 

86d.  Adenoids. 

86e.  Deviation  of  nasal  septum. 

86f.    Polypus,  nasal. 

86g.  Other  diseasies  of  nasal  fossae. 

87.  Diseases  of  the  larynx. 

87a.  Laryngitis,  acute. 

87b.  Laryngitis,  chronic. 

87c.  Other  diseases  of  the  larynx. 

88.  Diseases  of  the  thyroid  body. 

88a.  Goitre  (except  exophthalmic). 
88b.  Thyroiditis. 

89.  Acute  bronchitis. 

90.  Chronic  bronchitis. 

91.  Broncho-pneumonia. 

92.  Pneumonia  (lobar). 

93.  Pleurisy. 

93a.  Empyema. 

93b.  Hemothorax. 

93c.   Pleurisy,  acute  fibrinous. 

93d.  Pleurisy,  chronic  fibrinous. 

93e.  Pleurisy,  serofibrinous. 

93f.   Pleuritic  adhesions. 

93g.  Pneumothorax. 

94.  Pulmonary  congestion,  pulmonary  apoplexy. 

94a.  Congestion  of  lung,  acute. 

95.  Gangrene  of  the  lung. 

96.  Asthma. 

97.  Pulmonary  emphysema. 

98.  Other  diseases  of  the  respiratory  system. 

98a.  Hemoptysis.     (Do  not  use  as  a  primary  diagnosis  when  cause  can  be 

determined.) 
98b.  Hay  fever. 
98c.   Other  diseases  of  the  respiratory  system,  not  specified. 

V. — Diseases  op  the  Digestive  System. 

99 A.  Diseases  of  the  teeth  and  gums. 

99Aa.  Alveolar  abscess. 

99Ab.  Dental  caries. 

99 Ac.  Gingivitis. 

99Ad.  Pyorrhea  alveolaris. 
99B.  Other  diseases  ot  the  mouth  and  annexa. 

99Ba.  Ulcer  of  mouth.    (Do  not  use  as  a  primary  diagnosis  when  cause  can 
be  determined.) 

99Bb.  Glossitis. 

99Bc.   Stomatitis. 

99Bd.  Other  diseases  of  the  mouth  and  annexa,  not  specilied. 


REPORTS,   RETURNS,  AND  RECORDS.  151 

I 

100.  Diseases  of  the  pharynx. 

100a.  Abscess  of  tonsil. 

100b.  Hyper trophied  tonsils. 

100c.   Tonsillitis,  acute,  follicular. 

lOOd.  Pharyngitis. 

lOOe.  Other  diseases  of  the  pharynx. 

101 .  Diseases  of  the  esophagus. 

102.  Ulcer  of  the  stomach. 

103.  Other  diseases  of  the  stomach  (cancer  excepted). 

103a.  Dilatation  of  stomach. 

103b.  Gastritis,  acute,  catarrhal. 

103c.   Gastritis,  chronic,  catarrhal. 

103d.  Hyperchlorhydria. 

103e.  Hypochlorhydria. 

103f.    Other  diseases  of  the  stomach,  not  specified. 

105.  Diarrhea  and  enteritis  (2  years  and  over). 

105a.  Colitis. 

105b.  Diarrhea.     (Do  not  use  as  a  primary  diagnosis  when  cause  can  be 

determined.) 
105c.   Enteritis. 
105d.  Enterocolitis. 
105e.  Fermentation,  intestinaU 
105f.   Gastroenteritis. 
105g.  Ulcer  of  duodenum. 
105h.  Ulcer  of  intestines. 

106.  Ancylostomiasis. 

107.  Intestinal  parasites. 

107a.  Ascaris  lumbricoides. 
107b.  Oxyuris,  vennicularis. 
107c.  Strongyloidis  intestinalis. 
107d.  Tapeworm.     (State  kind.) 
107e.  Other  intestinal  parasites. 

108.  Appendicitis  and  typhlitis. 

108a.  Appendicitis,  acute. 
108b.  Appendicitis,  chronic. 

109.  Herniae;  intestinal  obstructions. 

109a.  Inguinal  hernia. 

109b.  Intestinal  obstruction. 

109c.  Other  herniae. 
110 A.  Diseases  of  the  anus. 

llOAa.  Proctitis. 

llOAb.  Fissiu'e  of  anus. 

llOAc.  Fistula  in  ano. 
HOB.  Other  diseases  of  the  intestines. 

llOBa.  Abscess  about  rectum. 

llOBb.  Autointoxication,  intestinal. 

llOBc.  Constipation. 

llOBd.  Sprue. 

llOBe.  Other  diseases  of  the  intestines  not  specified. 

111.  Acute  yellow  atrophy  of  the  Uver. 

112.  Hydatid  tumor  of  the  Uver. 

113.  Cixrhosia  of  the  liver. 

114.  Biliary  calculi. 


^1^2  MANUAL    FOR    THE    MEDICAL   DEPAfi^'lvtENT. 

115.  Other  diseases  of  the  liver. 

115a.  Abscess  of  the  liver. 

115b.  Adhesions  about  gall  bladder. 

115c.  Cholangitis.  ;.!■.;;. 

115d.  Cholecystitis. 

115e.  Displacement  of  liver' '^'""•'''T  "'^  ^ 

115f.  Functional  derangement  of  liver  (bilioupne.=!s). 

115g.  Other  diseases  of  the  liver  and  gall  l)lail(ler. 

116.  Diseases  of  the  spleen. 

117.  Simple  peritonitis  (nonpuerperal). 

117a.  Peritonitis,  general.     (Do  not  iise'as'U'priniary  diagnosis  anUpu  cause 

can  be  determined.)''-''  ""'- 
117b.  Peritonitis,  local. 

118.  Other  diseases  of  the  digestive  system  (cancer  and  tuberculosis  excepted). 

118a.  Disease  of  the  pancreas.  ■ 

118b.  Subphrenic  absce.ss.  'bujiHiir.  I'i  buj;  itaxfiifiKl  .^.ill 

118c.  Other  diseases  of  the  digestive  system  not  spec^ifi^dl ' '" 

VI. NONVENERAL    DISEASES  OP   THE    GeNITO-I^RINARY   HySTEM    AND  AnNEXA. 

119.  Acute  nephritis. 

120.  Bright's  disease.  ,      -,     . 

120a.  Albuminuria.     (Do  not  use  as  a  primary  diagnosis  when  cause  can  be 

determined.) 
120b.  Nephritis,  interstitial,  chroni<'. 
120c.  Nephritis,  parenchymatous,  chronic. 

120d.  Uremia.     (Use  only  as  a  secondary  diagnosis,  under  appropriate  form 
of  nephritis.) 

121.  Chyluria. 

122.  Other  diseases  of  the  kidneys  and  annexa. 

122a.  Congestion  of   kidneys.     (Do  not  use  as  a  primary  diagnosis  -when 

cause  can  be  determined.)  ,v . 

122b.  Hematiu-ia,  renal.     (Do  not  use  as  a  priKiary  diag]pi,o^  when  cuase 

can  be  determined.) 
122c.  Perinephritic  abscess. 
122d.  Pyelitis. 
122e.  Pyelonephritis. 
122f.  Pyonephrosis. 
122g.  Other  diseases  of  kidney  and  annexa  not  specilied. 

123.  Calculi  of  the  urinary  passages. 

123a.  Calculus  in  bladder. 

123b.  Nephrolithiasis. 

123c.  Ureteral  coUc  (colic,  renal). 

124.  Di.seases  of  the  bladder. 

124a.  ('ystitis. 

124b.  Enuresis.     (Do  not  use  as  a  primary  diagnosis  when  cause  can  be 

determined.) 
124c.  Retention  of  urine.     (Do  not  use  as  a  primary  diagnosis  when  cause 

can  be  determined.) 
124d.  Other  diseases  of  the  bladder. 

125.  Diseases  of  the  urethra,  urinary  abscess,  etc. 

125a.  Strictiu-e  of  urethra  (non venereal.) 

125b.  Simple  urethritis. 

125c.  Other  diseases  of  the  urethra,  not  specified. 


BEPORTS^   RETURNS,   AND   RECORDS.  153 

126.  Diseases  of  the  prostate. 

126a.  Hypertrophied  prostate. 
126b.  Prostatitis  (nonvenereal). 
126c.  Other  diseases  of  the  prostate. 

127.  Nonvenereal  diseases  of  the  male  genital  organs. 

127a.  Balanoposthitis. 

127b.  Epididymitis  (nonvenereal). 

127c.  Hydrocele. 

127d.  Orchitis  (nonvenereal). 

127e.  Paiuphimosis. 

127f.  Phimosis. 

127g.  Other  nonvenereal  diseases  of  the  male  genital  organs. 

VIII.  Diseases  op  the  Skin  and  of  the  Cellular  Tissue, 

142.  Gangrene. 

142a.  Gangrene. 

142b.  Raynaud's  disease. 

143.  Furuncle. 

143a.  Carbuncle. 
143b.  Fm'uncle. 

144.  Acute  abscess. 

144a.  Abscess. 
144b.  Celluhtls. 

145.  Other  diseases  of  the  skin  and  amiexa. 

145A.  Trichophytosis. 

145B.  Scabies. 

145C.  Other  diseases  of  the  skin  and  annexa. 

145Ca.  Acne. 

145Cb.  Bromidrosis. 

145Cc.  Sarcopsiliasis.     (Chigger.) 

145Cd.  Chilblain. 

145Ce.  Corns. 

145Cf .  Dermatitis  venenata. 

145Cg.  Eczema. 

145Ch.  Erythema. 

145Ci.  Herpes. 

145C j .  Herpes  zoster. 

145Ck.  HjT^eridrosis. 

145C1.  Impetigo. 

145Cm.  Ingrowing  nail. 

145Cn.  Prickly  heat. 

145Co.  Myiasis. 

145Cp.  Onychia. 

145Cq.  Pompholyx. 

145Cr.  Paronychia. 

145C8.  Pediculosis. 

145Ct.  Pempliigus. 

145Cu.  Pityriasis. 

145Cv.  Psoriasis. 

145Cw.  Ulcer. 

145Cx.  Urticaria. 

145Cy.  Wart. 

145Cz.  Other  diseases  of  skin  and  annexa  not  specified. 


154  MAlsrUAL   FOR   THF.    MEDlfWI,   DEPARTMENT. 

IX. — Diseases  op  the  Bones  and  of  the  Organs  op  Locomotion. 

146.  Diseases  of  the  bones  (tuberculosis  excepted). 

146a.  Frontal  sinusitis. 

146b.  Mastoiditis. 

146c.  Necrosis.     (Do  not  use  as  a  primary  diagnosis  when  caiise  ran  be 

detennined.) 
146d.  Osteomyelitis. 
146e.  Periostitis. 
146f.  Other  diseases  of  the  bones  (tuberculosis  excepted). 

147.  Diseases  of  the  joints  (tuberculosis  and  rheumatism  excepted). 

147a.  Ankylosis. 

147b.  Arthritis. 

147c.  Loose  body  in  joint. 

147e.  Synovitis  (not  to  include  traumatic  synovitis). 

149.  Other  diseases  of  the  organs  of  locomotion. 

149a.  Bursitis. 

149b.  Ganglion. 

149c.  Hallux  valgus  (bunion). 

149d.  Hammer  toe. 

149e.  Metatarsalgia. 

149f.  Myositis. 

149g.  Flat  foot. 

149h.  Rheumatism,  muscular. 

149i.  Tenontosynovitis. 

149j.  Torticollis. 

149k.  Other  diseases  of  organs  of  locomotion  not  specified. 

X. — Malformations. 

150.  Congenital  malformations  (stillbirths  not  included). 

Xn. — Old  Age. 

154.  Senility. 

154a.  Psychosis,  senile. 
154b.  Senility. 

XIII. — Affections  Produced  by  External  Causes. 

155.  Suicide  by  poison. 

156.  Suicide  by  asphyxia. 

157.  Suicide  by  hanging  or  strangulation. 

158.  Suicide  by  drowning. 

159.  Suicide  by  firearms. 

160.  Suicide  by  cutting  or  piercing  instruments. 

161.  Suicide  by  juini)ing  from  high  plare, 

162.  Suicide  by  crushing. 

163.  Other  suicides. 

164.  Poisoning  by  food . 

lC4a.  Ptomaine  poisoning. 

164b.  Other  poisonings  by  food. 
165A.  Venomous  bites  and  stings. 
lfi5B.  ( )ther  acute  poisonings  (deleterious  gases  excepted). 

165Ba.  Narcotic  poisoning,  acute. 

166Bb.  Corrosive  and  irritant  poisoning,  acute. 

IfiSBc.  Other  acute  poisonings. 


REPORTS,  BETURNS,  AND  RECORnS.  155 

166.  Conflagration.     (To  include  all  injuries  of  whatever  nature  resulting  from  the 

biuTiing  of  buildings,  ships,  and  forest  fires.) 

167.  Bums  (conflagration  excepted). 

167a.  Bums  of  — .     (State  site.) 
167b.  Corrosive  burns. 
167c.  Scalds. 
167d.  Sunburn. 
167e.  X-ray  burn. 

168.  Absorption  of  deleterious  gases  (conflagration  excepted). 

169.  Accidentiil  drowning. 

170.  Traumatism  by  firearms. 

171.  Traumatism  by  cutting  or  piercing  instruments. 

171a.  Incised  wound. 
171b.  Punctured  wound. 

172.  Traumatism  by  fall. 

174.  Traumatism  by  machines. 

175.  Traumatism  by  other  crushing  (veliicles,  railroad,  landslides,  otc). 

176.  Injuries  by  animals. 

177.  Starvation. 

177 A.  Overexertion. 

177Aa.  Exhaustion  from  overexertion  and  exposure. 
177B.  Starvation. 

177Ba.  Deprivation  of  water. 

177Bb.  Deprivation  of  food. 

178.  Excessive  cold. 

178a.  Exposure  to  extrerne  cold. 
178b.  Frostbite. 

179.  Effects  of  heat. 

179a.  Heat  exhaustion. 

179b.  Sunstroke. 

179c.  Ill-defined  effects  of  heat. 

180.  Lightning. 

180a.  Lightning  stroke. 

181.  Electricity  (lightning  excepted). 

182.  Homicide  by  firearms. 

183.  Homicide  by  cutting  or  piercing  instrumenta. 

184.  Homicide  by  other  means. 

185.  Fractures. 

185a.  Dislocation. 

185b.  Sprains. 

185c.  Fracture.     (State  location  and  cause.) 

186.  Other  external  violence. 

186a.  Abrasion. 

186b.  Blister. 

186c.  Concussion. 

186d.  ('ontused  wound. 

]86e.  Contusion. 

186f.    Deformity  (traumatic  or  noncongenital). 

186g.  Lacerated  wound. 

186h.  Ruptured  muscle.     (State  muscle.) 

186i.   Ruptured  organ.     (State  organ.) 

186j.   Other  traumatisms  not  specified. 


156  MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 

XIV. — Tm,-Defined  Diseases. 

188.  Sudden  death.     (Cause  uiiknowni.) 
189A.  Disease  not  specified  or  ill  dedned. 

189Aa.  Febri(;ula,  simple,  continued  and  other  fevers  of  undetermined 
cause.. 

189Ab.  Seasickness. 

189Ac.  Headache. 

189Ad.  Insomnia. 
189B.  No  disease,  feigned  disease. 

189Ba.  Under  observation,  undiagnosed  or  unknown. 

189Bb.  Malingering.  .,.  j  i'l'    : 

466.  The  following  special  requirements  will  he  observecf: 
(a)  Pathological  lesions  should  be  recorded  rather  than  their  symp- 
toms. 

(h)  In  all  cases  in  which  the  cause  of  admission  is  a  local  manifesta- 
tion of  a  general  affection  the  character  and  locality  of  the  one  and 
the  nature  of  the  other  should  be  stated. 

(c)  The  organ  or  part  aifected  should  be  specified  when  the  name 
of  the  morbid  condition  fails  to  indicate  it,  as  in  paralysis,  aneurism, 
ulcer,  herpes,  etc.;  also  in  inflammations,  as  adenitis,  osteitis,  artlu*itis, 
synovitis,  etc.,  and  in  local  injuries,  as  abrasions,  burns,  contusions, 
dislocations,  etc. 

(d)  Inflammations  should  be  reported  as  acute  or  chronic,  and  the 
grade  of  the  inflammatory  condition  of  the  mucous  membranes, 
whether  catarrhal  or  suppurative,  should  be  stated. 

(e)  The  term  "heart  disease"  should  not  be  recorded  when  the 
special  affection  can  be  determined. 

(f )  In  pulmonary  affections  the  lobe  or  lobes  involved  should  be 
designated;  also,  in  the  case  of  diseases  that  are  not  always  bilateral, 
whether  the  disease  is  confined  to  the  right  or  left  or  extends  to  both 
lungs.     The  comphcations  of  pleurisy  should  be  particularly  noted. 

(g)  Deviations  from  the  normal  in  cases  of  impairment  of  vision  or 
hearing  should  be  ascertained  and  noted. 

(h)  In  case  of  injury,  its  character,  location,  and  severity  should  be 
stated,  the  date  of  its  occurrence  should  be  given,  its  cause  should  be 
noted,  the  nature  of  the  missile,  weapon,  or  other  producmg  agent 
shown,  and  the  circumstances  attending  its  origin  indicated.  If  it 
was  accidental,  that  fact  should  appear.  If  it  was  intentional,  the 
record  should  show  whether  it  was  judicial,  homicidal,  suicidal,  self- 
inflicted,  or  otherwise,  as  the  case  may  be.  In  gunshot  wounds  the 
points  of  entrance  and  exit  of  the  missile  and  the  parts  implicated 
should  ])('  recorded. 

(i)  Fractures  should  be  designated  as  simple,  comminuted,  com- 
pound, or  complicated,  the  character  of  the  complications  ])eing 
stated. 


REPORTS^   RETURNS,   AND   RECORDS.  157 

(j)  The  exact  location,  variety,  and  cause  of  hernia  should  be  given, 
and,  when  strangulated,  the  condition  and  the  means  employed  for 
relief. 

(k)  Diseases  due  to  venereal  contagion,  to  the  abuse  of  stimulants 
or  narcotics,  or  to  immoral  practices  should  be  so  recorded. 

(I)  Distinction  should  be  made  between  inflammations  of  venereal 
origin  and  those  of  non venereal  origin,  as  in  cases  of  balanitis,  orchitis, 
bubo,  etc.,  specifying  the  nature  of  the  venereal  cause  and  the  causa- 
tion in  the  non  venereal  cases.  .  i 

(m)  Distuiction  should  also  be  made  between  the  venereal  ulcer 
known  as  chancroid  and  the  hard  chancre  of  primary  syphilis. 

(n)  The  terms  "venereal  warts,"  "venereal bubo,"  etc.,  are  mdefi- 
nite  and  should  not  be  used.  The  lesion  should  be  recorded  and  its 
specific  cause  stated. 

(o)  In  cases  of  old  injury  constitutmg  a  cause  of  admission  the 
original  injury  and  the  condition  of  the  injured  part  at  the  date  of 
current  admission  will  be  stated.  If  there  is  no  record  of  the  original 
mjiu^y  in  the  register,  record  will  also  be  made  under  this  head  of  its 
date,  place,  and  cause,  and  the  circumstances  attendmg  it;  but  if  the 
date,  cause,  etc.,  are  given  in  the  register  for  a  previous  admission  the 
same  need  not  be  repeated,  but  may  be  referred  to  as  follows:  "For 
date,  etc.,  of  origmal  mjury,  see  Reg.  No.  — ." 

(p)  In  all  cases  of  poisoning  the  name  of  the  poison  shoidd  be  given. 

(q)  Special  notes  should  be  made  of  cases  of  malingermg  or  feigned 
diseases  and  of  the  means  employed  for  their  detection. 

(r)  When  no  diagnosis  can  be  reached,  the  fact  shoidd  be  stated, 
together  with  the  conditions  which  prevent  the  recognition  of  the 
disease  or  injury. 

REPORT    OF    SICK    AND    WOUNDED. 

457.  The  report  of  sick  and  wounded  comprises,  (1)  the  report 
sheet  (Form  51),  which  provides  for  general  information  and  numer- 
ical tabulations  concerning  the  command  and  the  civihans  there- 
with; (2)  the  nominal  check  list  (Forms  51a  and  51&)  for  a  chi'ono- 
logical  list  of  cases  registered;  (3)  the  report  cards  (Form  52)  for 
details  of  the  several  cases. 

458.  Subject  to  exceptions  similar  to  those  indicated  in  paragraph 
427,  this  report  is  required  monthly  from  every  military  post  and 
separate  command  which  is  attended  by  a  medical  officer  or  civifian 
physician.  It  will  be  rendered  separately  for  regular  and  volunteer 
troops,  that  of  regulars  to  embrace  aU  data  pertaining  to  civihans. 
It  will  be  forwarded  before  the  fifth  day  of  the  next  succeeding 
month  as  foUows:  From  a  general  hospital  or  other  independent  post 
or  command  direct  to  the  Siu"geon  General,  unless  otherwise  ordered 
by  him ;  from  a  transoceanic  Army  transport  to  the  medical  superin- 
tendent of  the  transport  service  at  the  transport's  home  port,  for 


158  MANirAL    FOR    THK    MKDICAL   DKPABTMENT. 

transmittal  to  the  Surgeon  General;  and  from  any  other  organization 
or  hospital  to  the  department  surgeon  for  like  transmittal. 

(a)  When  a  hospital  is  closed  or  a  command  is  discontinued  a 
report  covering  the  unreported  period  of  service,  giving  the  beginning 
and  the  end  thereof,  will  in  like  manner  he  forwarded  within  five 
days  thereafter. 

(b)  If  there  has  been  no  case  on  sick  report,  either  remaining  from 
last  report  or  admitted  during  the  month,  Form  51  will  nevertheless 
be  forwarded.  It  will  give  the  name  and  strength  of  the  command, 
etc.,  with  such  remarks  as  may  be  deemed  of  interest  to  the  depart- 
ment surgeon  or  the  Surgeon  General. 

469.  All  births  and  maiTiages  occurring  at  the  post  or  with  the 
command  and  all  deaths  among  the  civilians  with  the  command  will 
be  recorded  on  the  report  of  sick  and  wounded  under  the  heading 
"Births,  marriages,  and  deaths." 

460.  A  report  card  is  required  for  every  case  registered  during  the 
month,  and  if  the  case  is  not  completed  until  a  subsequent  month  a 
second  report  card  will  be  forwarded  with  the  report  for  the  month 
during  which  it  is  completed.  With  the  report  for  December,  report 
cards  will  be  forwarded  also  for  all  cases  remaining  December  31 
which  were  registered  previous  to  December. 

(a)  A  duplicate  of  the  report  sheet  and  of  the  nominal  list  will  be 
retained  with  the  medical  records  of  the  post  or  command.  At  a 
permanent  post  the  duplicate  report  sheets  will  be  filed  in  and  form 
a  part  of  its  medical  history.     (See  par.  412.) 

(h)  The  senior  medical  officer  "will  fill  in  and  sign  the  certificate  at 
the  foot 'of  the  first  page  of  the  report  sheet.  (See  par.  400.)  The 
report  cards  will  be  initialed  as  provided  in  paragraph  435  for  reg- 
ister cards.  If  there  is  neither  medical  officer  nor  civilian  physician 
with  the  command  when  the  report  is  to  be  made,  the  officer  in 
charge  of  the  property  of  the  hospital  will  make  the  report  over  his 
own  signature  and  ijutial  the  cards. 

(c)  Alterations  should  in  every  instance  be  autlienticatod  by  the 
initials  of  the  officer  or  physician  who  signs  the  report  and  initials 
the  report  cards  respectively. 

461.  Reports  of  sick  and  wounded  received  by  a  department  sur- 
geon will  be  promj)tly  subjected  to  a  critical  examination,  and  such 
memoranda  taken  therefrom  as  he  may  need  for  the  purposes  of  his 
office.  Should  he  find  the  papers  correct,  he  will  forward  them  at 
once  by  informal  indorsement  (e.  g.,  dating  stamp)  on  the  report 
sheet  to  the  Surgeon  General.  Should  he  fijid  any  errors  therein, 
he  wiU  immediat-Cily  by  letter  to  tlie  r(^sponsible  surgeon  call  atten- 
tion to  the  same  and  du'ect  the  necessary  action  for  their  correction. 
He  will  not,  however,  detain  the  papers  in  his  office  awaiting  cor- 
rection but  will  as  in  the  other  event  forward  them  at  once  to  the 


REPORTS,   RETURNS,   AND   RECORDS.  159 

Surgeoji  General  in  like  manner  with  a  copy  of  his  letter  in  the 
premises.  The  surgeon  should  reply  to  the  department  surgeon's 
letter  by  indorsement  thereon.  (See  also  pars.  462,  463,  and  464.) 
After  the  reply  has  been  noted  by  the  department  surgeon  it  will  be 
forwarded  without  delay  to  the  Surgeon  General. 

CORRECTIONS    OF    AND    ADDITIONS    TO    REPORT    CARDS    AFTER    THEIR 

RENDITION. 

462.  When  the  diagnosis  is  changed  or  a  complication  or  intercur- 
rent disability  is  noted  on  the  register  card  of  a  remaining  case  before 
its  completion  (par.  436)  and  after  the  first  report  card  of  the  case 
has  been  forwarded,  the  Surgeon  General  will  be  immediately  noti- 
fied thereof  by  letter  sent  through  the  same  channel  thi'ough  which 
the  report  was  fonvarded.  The  advice  will  give  the  new  matter  to 
be  added,  together  with  the  date  of  the  change  or  of  the  appearance 
of  the  complication  or  intercurrent  disabiUty. 

463.  "When  other  corrections  or  alterations  are  made  in  the  regis- 
ter card  of  a  remaining  case  before  its  completion  and  after  the  first 
report  card  of  the  case  has  been  forwarded,  a  new  card,  signed  by 
the  senior  medical  officer,  marked  "Correction  card"  in  the  lower 
margin  on  the  back  of  the  card  directly  below  the  table  for  days  of 
treatment,  indicatmg  plainly  what  the  corrections  or  alterations  are 
(each  of  which  will  be  initialed  by  the  responsible  officer),  will  be 
forwarded  with  the  next  ensuing  monthly  report:  Provided,  That 
when  the  case  is  completed  upon  the  next  ensuing  monthh-  report 
the  card  required  for  the  completion  of  the  case  under  paragraph 
460  wiU  be  sufficient,  and  a  separate  correction  card  will  not  be  for- 
warded. 

464.  When  the  register  card  of  a  completed  case  is  altered  imder 
paragraph  436a.  after  its  final  report  card  has  been  rendered,  a  cor- 
rection card  similarly  marked  and  signed  by  the  senior  medical  offi- 
cer, showing  plainly  all  the  alterations,  each  of  which  will  be  authen- 
ticated by  the  initials  of  the  responsible  officer,  will  be  immediately 
forw^arded  to  the  Surgeon  General  through  the  usual  channel.  "V\Tien 
a  supplemental  card  is  filed  with  the  register  card  of  a  completed  case 
conformably  to  paragraph  436a,  a  full  and  exact  copy  thereof,  giving 
the  register  number  and  marked  "Transcript  of  supplemental  card" 
in  the  lower  margin  on  the  back  of  the  card  directly  below  the  table 
for  days  of  treatment,  will  be  at  once  foi*warded  likewise. 

REGISTER  OF  DENTAL  PATIENTS  AND   REPORT  OF 
DENTAL  WORK. 

465.  A  register  of  dental  patients  will  be  kept  on  cards.  Form  79, 
at  every  post  or  station  attended  by  a  member  of  the  Dental  Corps. 

466.  The  case  of  every  officer  and  enfisted  man  of  the  Army  who 


160 


MAIS^UAL   FOR    THE    MEDICAL   DEPARTMENT. 


is  treated  by  the  dentist  will  be  entered  in  the  register,  a  separate  card 
being  naade  for  each  period  of  continuous  treatment.  Upon  the  con- 
clusion of  continuous  treatment  in  any  case  its  card  will  be  closed 
by  appropriate  entry  in  the  ''Results''  column. 

(a)  Should  it  become  necessary  to  discontinue  work  on  a  case  on 
account  of  the  dentist's  departure  from  the  station  the  case  will  be 
closed  on  the  card,  making  a  record  of  the  status  of  the  work  in  the 
"Results"  column. 

(b)  If  an  officer  or  soldier  previously  on  the  register,  i.  e.,  for  whom 
a  closed  dental  card  is  on  file,  should  begin  a  new  course  of  treat- 
ment, whether  for  the  dental  disabihties  formerly  treated  or  other- 
wise, a  new  card  will  be  made  for  the  new  course  of  treatment. 

467.  The  dental  cards  in  the  several  cases  will  be  made  day  by  day 
as  the  treatments  begin.  They  will  be  kept  in  two  files,  each  ar- 
ranged in  dictionary  order  according  to  the  surnames  of  the  patients^ 
the  current  file  and  the  permanent  file.  The  current  file  wiU  con- 
sist of  the  cards  of  all  uncompleted  cases  and  the  completed  cards  in 
current  use  for  the  preparation  of  the  next  report  of  dental  work. 
Cards  will  be  transferred  from  the  current  file  to  the  permanent  file 
immediately  foUowmg  their  completion  and  the  preparation  of  the 
ensuing  report  of  dental  work. 

468.  The  cards  will  be  legibly  written  in  indelible  black  ink,  by 
pen  or  typewriter,  as  may  be  most  convenient.  The  entries  will  not 
be  crowded.  Extended  entries,  when  necessary,  may  be  made  in 
the  manner  indicated  in  paragraph  434a. 

469.  Tlie  dentist  will  sign  or  initial  all  dental  cards  covering  treat- 
ments given  or  concluded  by  him.  Alterations  will  be  authenti- 
cated by  him  by  his  initials. 

470.  The  nomenclature  given  on  page  2  of  the  monthly  report  of 
dental  work  (Form  57)  wiU  be  employed  so  far  as  applicable  in  record- 
ing dental  and  oral  diseases  and  injuries. 

471.  To  effect  economy  of  space  and  insure  uniformity  of  records, 
abbreviated  entries  are  prescribed  as  indicated  m  the  following 
tables : 

cijAssification  of  the  teeth. 


1.  Superior  central  incisors. 

2.  Superior  lateral  incisors. 

3.  Superior  cuspids. 

4.  Superior  first  bicuspids. 

5.  Superior  second  bicuspids. 

6.  Superior  first  molars. 

7.  Superior  second  molars. 

8.  Superior  third  molars. 


9.  Inferior  central  incisors. 

10.  Inferior  lateral  incisors. 

11.  Inferior  cuspids. 

12.  Inferior  first  bicuspids. 

13.  Inferior  second  bicuspids. 

14.  Inferior  first  molars. 

15.  Inferior  second  molars. 

16.  Inferior  third  molars. 


XoTE.— In  de.signating  the  teeth,  and  in  recording  all  operations  upon  them,  the  dental  surgeon  will 
indicate  the  tooth  by  the  above  plan,  using  the  letters  R  and  L  to  designate  the  right  and  left  sides  and 
the  figures  1,  2,  3,  etc.,  to  designate  the  teeth. 

Ezamplf.i.— HI,  right  superior  central  incisor;  I/H,  left  inferior  first  molar. 


REPORTS,   RETURNS,   AND   RECORDS. 


161 


Incisors  and  cuspids: 

A.  Labial. 

B.  Lingual. 

C.  Inciaal. 


Incisors  and  cuspids: 
G.  ^Mesial. 
H.  Distal. 


CLASSIFICATION   OF   CAVITIES. 

Simple  cavitws  on  exposed  surfaces. 

Bicuspids  and  molars : 

D.  Occlusal. 

E.  Buccal. 

F.  Lingual. 

Simple  approximate  cavities. 

Bicuspids  and  molars: 
I.  Mesial. 
J.  Distal. 

Compound  cavities. 


Incisors  and  cuspids: 

K.  Mesio-labial. 
L.    Disto-labial. 
M.  Mesio-lingual. 
N.  Disto-lingual. 
0.  Mesio-incisal. 
P.    Disto-incisal 
Q.   Mesio-disto-incisal. 

Note.— In  recording  all  operations  of  filling  the  toeth,  the  cavity  will  be  described  by  the  dental  surgeon 
according  to  the  preceding  classification,  using  the  letters  A,  B,  C,  etc.,  to  designate  its  location. 

Examples. — A,  simple  cavity  in  labial  surface  of  an  incisor  or  cuspid  tooth;  I,  simple  cavity  in  mesial 
surface  of  a  bicuspid  or  a  molar;  V,  compound  cavity  in  mesial,  distal,  and  occlusal  surfaces  of  a  bicuspid 
or  a  molar. 

CLASSIFICATION   OF  FILLING   MATERIALS.  • 


Bicuspids  and  molars: 

R.  Mesio-occlusal . 

S.    Disto-occlusal. 

T.    Occluso-buccal. 

U.   Occluso-lingual. 

V.  Mesio-disto-occlusal. 

W.  Bucco-linguo-occlusal. 


Tin. 

Amalgam . 


Oxyphosphate. 
Gutta-percha. 


>JoTE.— The  kind  of  filling  material  employed  will  be  indicated  by  using  the  first  letter  cf  the  word  de.'^ig- 
nating  that  material. 

Example— RS,  V,  A:  Tooth,  right  superior  second  bicuspid;  cavity,  mesio-disto-occlusal  surfaces; 
filling  materinl.  amalgam. 

If  a  combination  filling  is  employed,  it  will  be  designated  by  the  first  letters  of  the  words  designating 
the  materials  used. 

Example.— 1^1,  S,  G-0:  Tooth,  left  superior  second  molar;  cavity,  disto-occlusal  surfaces;  filling  mate- 
rial, gutta-percha  and  oxyphosphate  cement. 

OTHER   OPERATIONS   AND   ABBREVIATIONS. 

In  recording  operations  made  with  gold  (he  full  word  gold  should  be  written  out. 
Other  operations  upon  the  teeth  will  be  designated  by  a  combination  of  letters,  as 
follows: 


Abscess  lanced :  A-L. 
Calculus  removed:  C-R. 
Gums  lanced:  G-L. 
Pulp  capped:  P-C. 
Pulp  devitalized:  P-D. 


Pulp  extirpated:  P-E. 
Root  canal  filled:  R-F. 
Tooth  extracted:  T-E. 
Tooth  treated:  T-T. 
Further  treatment:  F-T. 


472.  Details  of  cases  will  be  carded  as  follows: 
(a)  Spaces  1  to  9  will  be  filled  out  in  the  manner  prescribed  for 
the  register  of  patients  (pars.  437  to  442). 
93440°— 17 11 


162  MANUAL   FOR   THE    MEDICAL    DEPARTMENT. 

(h)  h\  space  10  the  diagnosis  will  be  recorded.  One  line  should  be 
taken  for  each  morbid  condition  requiring  treatment  which  is  found 
when  the  case  is  fii-st  entered  or  which  subsequently  develops  durmg 
the  course  of  the  treatment. 

(c)  The  date,  nature,  and  residt  (as,  e.  g.,  cured,  improved,  unim- 
proved, successful,  unsuccessful,  or  undetermined)  of  the  treatment 
of  each  such  condition  will  be  entered  in  spaces  11  and  12,  with  such 
additional  remarks  in  the  latter  space  as  may  be  appropriate. 

473.  A  report  of  dental  work  is  required  monthly  on  Form  57 
from  every  military  post  or  command  at  or  with  which  a  member  of 
the  Dental  Corps  has  been  on  duty  during  the  month.  It  will  be 
made  and  signed  by  the  dentist.  If  no  patients  have  been  treated 
during  the  month,  the  report,  with  a  statement  to  that  effect  under 
"General  remarks,"  will  nevertheless  be  rendered. 

(a)  The  report  will  be  forwarded,  tlu-ough  medical  channels,  to 
the  Surgeon  General,  before  the  fifth  day  of  the  next  succeeding 
month. 


ARTICLE  IX.— SUPPLIES  AND  MATERIALS. 


GENERAL  PROVISIONS. 

474.  The  sujjply  table  enumerates  the  medical  supplies  issued  to 
the  Army  and  the  quantities  and  sizes  of  original  packages.  These 
supplies  are  selected  for  the  military  service,  and  it  is  beheved  that 
all  necessary  articles  are  included  and  that  the  quantities  allowed 
will  be  found  sufficient  under  ordinary  circumstances.  Requests 
for  particular  preparations  simply  because  they  are  agreeable  to  the 
taste  or  save  trouble  in  compounding  will  not  be  approved;  nor 
will  preparations  of  a  drug  be  furnished  when  one  or  more  practically 
equivalent  ones  are  on  the  supply  table.  The  Medical  Department 
will  supply  from  time  to  time  new  remedies  of  determined  thera- 
peutic value,  but  newly  introduced  remedies  which  offer  no  manifest 
advantage  over  those  ah-eady  issued  will  not  be  supplied. 

(a)  Medical  officers  are  requested  to  communicate  freely  to  the 
Surgeon  General  any  suggestions  tending  to  the  improvement  of 
medical  supplies,  appliances,  etc.,  and  to  make  reports  as  to  new 
designs  of  apparatus,  field  equipment,  etc. 

475.  In  preparing  returns,  requisitions,  invoices,  and  receipts 
pertaining  to  medical  and  hospital  supplies,  the  nomenclature,  order 
of  entry,  classification,  and  weights  and  measures  of  the  supply 
table  will  be  followed.  To  facilitate  the  handling  of  these  papers 
one  line  of  writing  only  will  be  placed  in  each  interlinear  space.  No 
letter  of  transmittal  is  required  with  them. 

476.  Medical  officers  in  charge  of  medical  supply  depots  will  pur- 
chase and  distribute  m-edical  and  hospital  supplies  for  the  Army 
according  to  instructions  given  them  from  time  to  time  by  the 
Surgeon  General.  (See  par.  380.)  Purchases  at  posts  or  by  officers 
not  in  charge  of  supply  depots  (except  prescriptions  purchased  under 
the  provisions  of  Army  Regulations,  and  antitoxins  purchased  under 
the  authority  indicated  hereinafter  in  the  supply  table)  will  not 
usually  be  made  without  special  authority  from  the  Surgeon  General, 
or,  in  the  Philippine  Department  or  Hawaiian  Department,  from  the 
department  surgeon.  When  the  emergency  is  so  great  that  there 
is  not  time  to  obtain  special  authority  by  mail  through  the  regular 
channels,  application  therefor  may  be  made  direct  by  telegi-aph. 
Wlien  it  is  impracticable  to  telegraph,  small  quantities  of  articles  im- 
mediately needed  to  save  hfe  or  prevent  suffering  and  distress  among 

163 


164  MANUAL   FOR   THE    MEDICAL   DEPAETMENT. 

tlio  sick  may  be  purchased  without  advance  authority.  Vouchers 
for  such  unauthorized  purchases  will  be  forwarded  without  delay 
on  Form  330  or  Form  330a,  W.  D.,  to  the  department  surgeon,  or  if 
from  a  command  under  the  immediate  supervision  of  the  War  Depart- 
ment to  the  Surgeon  General,  unless  otherwise  directed  by  him. 
They  must  invariably  be  accompanied  by  a  letter  explaining  why  the 
necessary  articles  were  not  on  hand,  and  what  the  circumstances 
were  which  did  not  admit  of  requiring  for  them  in  the  regular  way 
or  of  making  telegraphic  application  for  authority  to  purchase  them. 
Timely  action  in  requiring  for  supplies,  will  as  a  rule  obviate  the  neces- 
sity of  telegraphic  application  or  of  unauthorized  purchases. 

(a)  Purchase  vouchers  must  be  accompanied  by  one  invoice  of 
articles  purchased,  Form  12,  a  duphcate  of  which  should  be  retained 
by  the  officer  accountable  for  the  property.     ' 

REQUISITIONS. 

POST    MEDICAL    SUPPLIES. 

477.  Annual  requisitions  for  post  medical  supplies  will  be  prepared 
on  Form  33,  for  the  year  commencing  January  1,  unless  some  other 
date  is  designated  by  the  vSurgeon  General. 

(a)  They  will  be  forwarded  not  less  than  20  days  before  the  begin- 
ning of  the  year,  to  the  department  surgeon,  in  quadruplicate,  or 
in  the  case  of  general  hospitals  and  independent  posts  direct  to  the 
Surgeon  General  in  triplicate. 

478.  Articles  of  which  a  defmite  allowance  is  given  on  the  supply 
table  will  be  required  for  on  the  annual  requisition  except  as  other- 
wise provided  in  paragraph  486.  No  remark  will  be  made  opposite 
the  name  of  any  article  that  a  special  kind  or  special  make  or  pattern 
is  wanted,  as  the  annual  requisition  is  intended  to  include  only  such 
articles  as  are  kept  on  hand  in  supply  depots  for  issue,  and  not  such 
as  have  to  be  specially  purchased;  the  latter  when  wanted  must  be 
asked  for  on  special  requisition. 

(a)  Only  such  cjuan titles  will  be  asked  for  as  probably  will  be  needed 
during  the  year,  computed  on  the  basis  of  original  packages.  Frac- 
tional parts  of  a  bottle  or  package  will  not  bo  asked  for.  The  quan- 
tities asked  for,  plus  the  quantities  on  hand,  must  not  exceed  those 
specified  in  the  table  for  the  official  population  most  nearly  corre- 
sponding to  that  of  the  post  or  command.  The  cpiantity  of  each 
article  on  hand,  as  verified  by  a  medical  ofiicer  in  accordance  with 
paragraph  512a,  will  be  stated  and  wifi  be  deducted  from  the  quantity 
allowed  annually  by  the  supply  table  (ignoring  for  the  purpose  of 
this  deduction  fractional  parts  of  bottles  and  packages  on  hand)  to 
ascertain  the  balance  which  may  be  asked  for,  if  needed. 


SUPPLIES  AND   MATERIALS.  165 

(b)  Before  forwarding  an  annual  requisition  it  will  be  carefully 
examined  and  compared  with  the  supply  table  to  see  that  it  has 
been  correctly  made  out  in  strict  accordance  with  these  regulations 
and  to  avoid  the  delay  that  its  return  for  correction  will  occasion 
if  they  are  not  complied  with, 

479.  The  local  prevalence  or  rarity  of  certain  diseases,  as  well  as 
the  quantity  or  number  on  hand  of  each  article,  will  be  considered 
in  the  preparation  and  approval  of  annual  requisitions. 

480.  The  smaller  posts  will  not  need  all  the  articles  included  in 
the  supply  table.  The  surgeon  is  not  expected  to  require  for  an 
article  merely  because  it  is  listed.  He  should  call  only  for  what  there 
is  reason  to  think  he  will  need. 

481.  The  department  surgeon  to  whom  an  annual  requisition  is 
forwarded  will  see  whether  it  is  prepared  in  accordance  with  the  above 
regulations.  If  it  is,  he  will  approve  and  forward  one  copy  direct 
to  the  medical  supply  depot  designated  for  his  territory  by  the  Sur- 
geon General;  if  it  is  not,  he  will  alter  it  to  conform  to  these  regula- 
tions, and  then  forward  it  to  the  depot  approved  as  altered.  In 
either  event,  he  will  forward  the  second  copy  of  the  requisition,  with 
the  action  taken  by  him  noted  thereon,  direct  to  the  Surgeon  General. 
He  will  retain  the  third  copy  in  the  files  of  his  office  and  will  return 
the  fourth  copy  to  the  surgeon  with  his  modifications,  if  any,  noted 
thereon. 

482.  Special  requisitions  for  post  medical  supphes  are  annual, 
quarterly,  or  emergency.  They  will  be  made  on  Form  35,  but  sepa- 
rately from  those  for  field  medical  supphes  and  those  for  dental  sup- 
plies. The  same  number  of  copies  will  be  executed,  and  they  will 
be  forwarded  to  the  department  surgeon  or  to  the  Surgeon  General 
direct,  as  in  the  case  of  amiual  requisitions  from  the  same  posts  or 
hospitals.     (See  par.  477a.) 

483.  Except  as  otherwise  provided  in  paragraph  486,  articles  not 
on  the  supply  table  which  will  be  needed  during  the  year  wiU  be 
called  for  on  the  ammal  special  requisition.  It  will  be  forwarded 
with  the  regular  annual  requisition.  Tlie  articles  will  be  listed  in 
alphabetical  order,  and  the  necessity  for  them  will  ])e  fuUy  explained 
in  the  column  of  "Remarks."  To  avoid  delay  in  filling  these  recpiisi- 
tions  a  full  description  of  special  articles,  instruments,  and  appli- 
ances required  for  will  be  given  in  "Remarks,"  together  with  a  state- 
ment of  their  cost  or  approxunate  cost,  as  ascertained  from  dealers' 
catalogues  or  other  reliable  sources  of  information.  When  unusual 
drugs  or  chemical  reagents  are  called  for  similar  information  as  to 
their  cost  will  be  furnished. 

484.  Except  as  otherwise  provided  in  paragraph  486  and  in  the  foot- 
notes to  the  supply  tables,  articles  on  the  supply  table  of  which  no 
allowance  is  stated,  or  which  are  issued  "as  required,"  wiU  be  called 
for  0)1  the  quarterly  special  requisition. 


166  MANUAL  fOE  THE   MEMCAL  DEPARTMENT. 

(a)  When  supplies  are  exhausted  or  their  exhaustion  is  imminent, 
a  renewal  thereof  may  he  asked  for  on  the  quarterly  special  requisi- 
tions forwarded  during  the  remainder  of  the  year.  Tliese  articles 
should  be  listed  accordhig  to  the  nomenclature,  classification,  and 
alphabetical  arrangement  of  the  supply  table. 

(b)  When  quarterly  special  requisitions  are  necessary  they  will 
ordinarily  be  forwarded  on  or  before  January  1,  April  1,  July  1,  and 
October  1,  for  the  ensumg  three  months,  respectively.  A  quarterly 
requisition  may,  however,  be  forwarded  at  any  tune  during  the  char- 
ter in  which  the  supplies  are  needed, 

(c)  When  under  these  regulations  a  quarterly  special  requisition 
would  be  made  at  the  same  tune  as  an  ammal  special  it  will  be  con- 
solidated therewith. 

485.  Wlien,  as  a  result  of  the  prevalence  of  an  epidemic  or  for  any 
other  reason,  necessary  supplies  are  likely  to  be  exliausted  before  the 
next  quarterly  special  requisition  is  to  be  made,  they  will  be  called 
for  on  an  emergency  requisition,  Form  35,  forwarded  at  once  upon 
the  development  of  the  deficiency,  with  a  full  explanation  of  the 
emergency  and  its  cause.  In  extreme  cases  telegraphic  apphcation 
should  be  made  direct  to  the  Surgeon  General,  or  in  the  Philippme 
Department  or  Hawaiian  Department  to  the  department  surgeon,  for 
the  supplies  needed  to  meet  the  emergency,  which  will  be  followed 
by  a  letter  of  explanation.  Surgeons  will  be  held  accountable  for  any 
suffering  which  may  result  from  their  failure  to  requu*e  for  supplies 
when  it  is  evident  the  same  will  be  needed. 

(a)  Tlie  frequent  rendition  of  emergency  post  requisitions  would 
usually  argue  a  want  of  reasonable  foresight  in  requirmg  for  supplies, 
or  a  want  of  proper  economy  in  the  use  of  hospital  property,  and 
would  be  a  reproach  to  medical  administration.  If  due  care  hi  the 
use  of  hospital  property  is  exercised,  and  the  regulations  herein  made 
for  the  timely  preparation  of  annual  and  quarterly  requisitions  are 
observed,  it  will  seldom  be  necessary  to  resort  to  the  emergency  or 
telegraphic  requisition. 

486.  The  following  special  rules  wlU  be  observed: 

(a)  Identification  supplies  will  be  asked  for  on  quarterly  special 
requisitions.  On  these  requisitions  no  other  items  should  appear,  as 
identification  supplies  are  issued  from  the  New  York  supply  depot 
only. 

(b)  Articles  required  to  replace  imserviceable  property,  whether 
on  the  supply  table  or  not,  will  bo  required  for  on  the  quarterly 
special  requisition.  The  exact  immber  and  condition  of  the  imserv- 
iceable articles  on  hand  will  be  expressly  stated  in  "Remarks." 

(c)  Mmeral  od,  coal,  gas,  and  electric  current,  for  operating  steril- 
izers, X-ray  machines  and  otlior  therapeutic  apparatus  will  bo 
obtained  on  request  addressed  to  the  Surgeon  General,  or,  in  the 
]*hilippine  or  ILiwaiian  Departments,  to  the  department  surgeon. 


SUPPLIES  AND  MATERIALS.  167 

(d)  Supplies  for  a  siibpost  or  camp  will,  in  the  absence  of  orders  to 
the  contrary,  be  required  for  quarterly  upon  the  surgeon  of  the  main 
post  or  command,  who  will  issue  them  after  approval  by  the  depart- 
ment surgeon. 

487.  The  department  surgeon  to  whom  a  special  requisition  is 
forwarded  "w411  personally  and  carefully  scrutmize  it  and  make  such 
changes  therein  as  he  may  deem  proper.  He  will  indorse  on  each 
of  three  copies  his  approval  or  recommendation  as  to  the  action  to 
be  taken  and  wiU  forward  them,  except  as  indicated  in  section  (a) 
hereinafter,  to  the  Surgeon  General.  He  will  retain  the  fourth  copy 
in  the  files  of  his  office.  One  copy  of  the  requisition  forwarded  to 
the  Surgeon  General's  Office  will  be  returned  to  the  surgeon,  through 
the  department  surgeon,  with  modifications,  if  any,  noted  thereon. 
In  the  Pliihppine  and  Hawaiian  Departments  the  department  sur- 
geons are  authorized  to  act  upon  special  requisitions  as  upon  annual 
requisitions. 

(a)  In  the  case  of  a  special  requisition  to  meet  an  emergency  not 
admitting  of  delay  the  department  surgeon  is  authorized  to  approve 
the  same,  forwarding  one  copy,  with  his  approval  indorsed  thereouy 
to  the  medical  supply  depot  designated  for  his  territory,  forwarding 
a  second  copy  to  the  Sm'geon  General  with  an  indorsement  stating 
the  circumstances,  retaming  the  third  copy  in  his  files,  and  returning 
the  fourth  copy  to  the  surgeon  with  his  modifications,  if  any,  noted 
thereon;  but  requisitions  for  articles  not  on  the  supply  table  must  in 
aU  cases  be  fon\^arded  to  the  Surgeon  General  for  his  action  (except 
in  the  Philippine  and  Hawaiian  Departments,  where  the  department 
sufgeons  will  act  upon  them). 

488.  Medical  supply  officers  to  whom  approved  requisitions'  for 
suppHes  are  referred  by  department  surgeons  conformably  to  these 
regulations  are  authorized  to  issue  the  same  from  stock,  if  on  hand, 
or  to  purchase  them  for  issue,  if  not  on  hand,  subject,  however,  to 
instructions  given  by  the  Surgeon  General  respectmg  the  allotment 
and  expenditm'e  of  public  fmids  available  for  pm*chases. 

FIELD   MEDICAL    SUPPLIES. 

(For  provisioas  respecting  requisitions  from  organizations  in  the  field,  see  pars.  551  to  553.) 

489.  Requisitions  to  replenish  field  medical  supplies  or  to  replace 
unserviceable  field  equipment  at  permanent  posts  will  be  executed 
in  triphcate,  on  Form  35,  and  will  be  forwarded  to  the  department 
surgeon,  or,  in  the  case  of  an  independent  post  or  station,  direct  to 
the  Surgeon  General. 

(a)  The  department  sm-geon  who  receives  a  requisition  in  triplicate 
for  field  medical  supplies  in  conformity  with  this  regulation  will 
promptly  •forward  the  same,  ^vith  his  recommendations  indoi-sed 
on  each  copy,  to  the  Sm-geon  General.     In  the  Philippine  and  Ha- 


168  MANUAL   FOR    THE    MEDICAL   DEPARTMENT, 

waiiaii  Departments  the  department  surgeons  are  authorized  to  act 
upon  them  as  upon  requisitions  for  post  suppHes.  One  copy  of  the 
requisition  will  be  returned  to  the  surgeon  with  modifications,  if  any, 
noted  thereon. 

490.  Requisitions  from  permanent  posts  for  field  medieval  supphes 
should  be  umiecessary  except  immediately  following  active  military 
operations  or  as  the  rosult  of  changes  in  the  supply  tables. 

DENTAL    SUPPLIES. 

491.  Articles  of  post  medical  supplies  needed  by  the  dental  sur- 
geon will  be  issued  by  the  surgeon,  as  to  his  other  assistants,  from 
time  to  time  in  such  quantities  as  are  needed  for  the  work  at  the  post. 
The  surgeon  is  charged  with  the  responsibility  of  keeping  on  hand 
the  articles  indicated  in  the  supply  tables  as  used  by  dental  surgeons. 

492.  Requisitions  for  other  dental  supplies,  annual  and  special, 
will  be  executed  in  triplicate  by  the  dentist,  who  will  forward  them 
through  the  surgeon  to  the  department  surgeon,  or,  in  the  case  of 
independent  posts  or  commands,  to  the  Surgeon  General.  The 
department  surgeon  will  promptly  transmit  them,  with  his  recom- 
mendations indorsed  on  each  copy,  to  the  Surgeon  General.  In  the 
Philippine  and  Hawaiian  Departments  the  department  surgeons  are 
authorized  to  act  upon  them  as  upon  requisitions  for  post  supphes. 
One  copy  of  the  requisition  will  be  returned  to  the  dentist  with  modi- 
fications, if  any,  noted  thereon. 

J  493.  i\jinual  requisitions  will  be  made  on  Form  36  for  the  year 
beginning  January  1  (unless  some  other  date  is  designated  by  the 
Surgeon  General)  and  will  be  forwarded  not  less  than  20  days  before 
that  date. 

(a)  Articles  of  which  a  definite  allowance  is  fixed  on  the  dental 
supply  table  will  be  required  for  on  the  annual  requisition,  except  as 
othenvise  provided  in  paragraph  491.  Annual  dental  requisitions 
will  be  subject  to  the  regulations  in  paragraph  478  governing  the 
preparation  of  annual  post  requisitions,  so  far  as  the  same  are 
apphcable. 

494.  iVrticles  on  the  dental  supply  table  for  which  no  allowance  is 
specified  or  which  are  issued  "as  required,"  will  be  required,  for  on 
quarterly  special  requisitions,  Form  35,  except  as  otherwise  provided 
in  paragraph  491,  for  the  quarters  beginnuig  January  1 ,  April  1 ,  Jidy  1 , 
and  October  1 . 

(a)  Articles  not  on  the  dental  supply  table,  which  are  absolutely 
necessary  for  dental  work  soon  in  prospect,  will  also  ])e  called  for  on 
the  quarterly  special  requisition,  with  a  full  explanation  of  their 
necessity. 

(&)  Textbooks  on  dental  sid)je(;ts  will  be  askcul  for  on  •quarterly 
special  reciuisitions. 


SUPPLIES  AND   MATERIALS.  16d 

495.  In  emergencies,  when  dental  instruments,  appliances,  or  sup- 
plies not  on  hand,  or  to  replace  similar  articles  which  have  become 
miserviceable,  will  be  needed  before  the  next  quarterly  special  requisi- 
tion, they  may  be  required  for  on  an  emergency  special  requisition, 
to  be  forwarded  at  once  upon  the  development  of  the  emergency, 
with  a  full  explanation  of  its  character  and  cause. 

TRANSFER  OF  MEDICAL  SUPPLIES. 

(See  pars.  49  and  228.) 

496.  In  ordinary  transfers  of  medical  supplies  the  transferring  offi- 
cer will  at  once  forward  invoices  (Forms  23,  24,  28,  or  31)  in  dupli- 
cate, one  to  the  Surgeon  General  direct  and  one  to  the  receiving  offi- 
cer. The  latter  will  promptly  upon  completion  of  the  transfer  for- 
ward receipts  (Forms  23,  24,  28,  or  31)  in  duplicate,  one  to  the  Sur- 
geon General  and  the  other  to  the  transferring  officer.  A  packer's 
list  (Form  32)  will,  if  necessary,  be  furnished  by  the  transferring 
officer. 

(a)  All  supplies  shipped  will  bear  the  name  of  the  consignor  as  well 
as  that  of  the  consignee. 

497.  In  cases  in  which  complete  transfer  of  medical  property  occurs, 
the  receiving  officer,  instead  of  giving  separate  receipts,  as  provided 
in  paragraph  496,  wiU  receipt  for  the  property  transferred  on  the 
final  return,  both  original  and  duplicate  (Form  17c),  of  his  predeces- 
sor. The  transferring  officer  will  at  once  forward  the  original  return, 
bearing  the  receipt  above  prescribed,  to  the  Surgeon  General.  The 
duplicate  return  will  be  filed  with  the  retamed  records  of  the  hospital. 
(See  Appendix :  Records  and  Correspondence.) 

498.  Great  care  should  be  exercised  before  receipting  for  cases  of 
mstiTiments,  microscopes,  and  other  property  of  similar  character  not 
enumerated  on  the  property  papere  in  detail,  to  ascertain  that  the  fuU 
contents  of  such  cases  are  present  and  in  good  order.  Incomplete 
cases  will  be  receipted  for  as  such  and  a  list  of  the  missing  articles  will 
accompany  the  receipt,  in  order  that  the  proper  officer  may  be  held 
accountable  for  the  deficiency.  Receipts  without  remark  for  cases 
of  instruments  and  similar  property  wiU  be  considered  as  evidence 
that  they  are  complete  and  in  accordance  with  the  lists  of  contents 
marked  in  the  cases  or  as  given  in  the  supply  table,  and  the  receiving 
officer  wiU  be  held  responsible  in  accordance  therewith. 

499.  The  transferring  officer  wiU  enter  on  his  invoices,  and  the 
receiving  officer  on  his  receipts,  the  condition  of  aU  articles  not 
serviceable. 

600.  Medical  officers  will  report  to  the  Sm'geon  General  and  to  the 
transferi'mg  officer  all  defects  observed  in  the  quality,  quantity,  or 
packing  of  medical  supplies. 


lYO  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

ACCOUNTABILITY. 

601.  Medical  officers  will  take  up  and  account  for  all  medical  prop- 
erty of  the  Ai'my  wliich  comes  into  their  possession.  If  it  is  property 
with  which  they  have  not  been  formally  charged  (as,  e.  g.,  property 
foimd  at  post)  they  will  report  if  possible  to  whose  account  it  is  to  be 
credited.     (See,  however,  par.  5046.) 

(a)  Members  of  the  Dental  Corps  will  follow  a  similar  coui^e  regard- 
ing dental  property  coming  into  then*  possession,  except  supphes 
issued  mider  paragraph  491. 

502.  No  medical  property  will  be  accounted  for  as  on  hand  at  the 
end  of  the  accounting  period  unless  the  same  is  then  in  fact  on  hand. 
Medical  property  expended,  lost,  or  destroyed  must  be  ckopped 
accordingly,  and  credit  therefor  claimed  by  certificate  or  affidavit  as 
required  by  Army  Regulations.  If  the  evidence  is  considered  satis- 
factory by  the  Surgeon  General  the  credit  will  be  allowed  as  claimed; 
if  not  satisfactory,  the  accomitable  officer  will  be  required  to  refund 
the  value  of  the  property.     (See  par.  230.) 

503.  In  invoicing  or  accountmg  for  broken  packages,  such  as 
bottles,  jars,  etc.,  fractions  will  be  given  as  one-foiu-th,  one-haK, 
thi'ee-fom'ths. 

DISTRIBUTION   OF  FIELD    MEDICAL   SUPPLIES   IN   TIME 

OF  PEACE. 

504.  Surgeons  on  duty  with  line  organizations  are  charged  with  the 
responsibility  of  keeping  on  hand  in  time  of  peace  the  field  medical 
supplies  mentioned  in  paragraph  632.  These  supplies  will  be  so 
distributed  that  in  case  of  mobilization  the  various  organizations  will 
arrive  at  their  concentration  camps  completely  equipped,  but  with- 
out medical  supplies  m  excess  of  the  prescribed  allowances.  For 
example:  If  a  regiment  is  divided  between  two  stations  the  camp 
infirmary  may  be  assigned  where  the  larger  proportion  of  the  regi- 
ment is  stationed  and  the  combat  equipment  to  the  station  of  the 
other  units.  If  a  regiment  is  divided  between  three  or  more  stations 
the  camp  infirmary  may  be  assigned  to  one  station,  and  the  combat 
equipment  to  another,  while  the  units  at  each  of  the  other  stations 
may  be  supplied  with  an  extra  medical  and  surgical  chest  (par.  932), 
The  additional  articles  for  the  establishment  of  a  regimental  hospital 
should  be  kept  at  the  same  station  as  the  camp  infirmary,  as  they 
are  supplementary  to  the  latter  and  of  little  value  by  themselves. 

(a)  If  the  supphes  thus  provided  for  detached  battalions  or  com- 
panies prove  insufficient  for  the  requirements  of  practice  marches 
and  other  field  exercises  engaged  in  during  peace  they  may  be  sup- 
plemented by  equipment  improvised  from  post  supplies,  but  requisi- 
tions for  field  supplies  in  excess  of  these  provisions  should  not  bo 
necessary. 


SUPPLIES   AND  MATERIALS.  171 

(h)  In  order  to  carry  out  the  provisions  of  this  paragraph,  surgeons 
of  detached  battahons  or  companies  will  be  required  to  hold  the 
supplies  (except  individual  equipments)  pertaming  to  the  combat 
equipment  and  camp  infirmary  on  memorandum  receipt  from  the 
surgeon  at  regimental  headquarters. 

605.  When  the  battalions  or  companies  of  an  organization  are  sta- 
tioned in  different  departments  but  belong  to  the  same  tactical 
division  the  distribution  of  the  field  medical  equipment  of  the  organi- 
zation will  be  decided  by  the  War  Department  upon  the  recommen- 
dation of  the  department  commander  in  whose  department  the 
headquarters  of  the  organization  is  stationed. 

506.  In  the  event  of  mobilization  organizations  will  take  with  them 
to  the  concentration  camp  the  combat  equipment  and  the  camp  infir- 
mary only  unless  otherwise  specifically  directed  by  the  department 
commander,  except  that  the  extra  medical  and  surgical  chests  pro- 
vided for  detached  battalions  or  companies  may  be  taken  if  required 
for  use  en  route.  In  the  latter  case  such  additional  supplies  will  be 
turned  in  to  the  depot  when  the  organization  has  joined  its  division. 
(See  par.  365Z.) 

RETURNS   OF  MEDICAI.  PROPERTY. 

(See  par.  3806.) 

507.  Officers  in  charge  of  medical  property  will  on  being  relieved 
of  the  same  prepare  a  return  thereof  in  duplicate  (Forms  17,  17a, 
176,  and  17c),  showing  aU  articles  received,  expended,  sold,  trans- 
ferred, etc.,  during  its  period.  The  original  of  this  return  will  be 
promptly  transmitted  to  the  Surgeon  General.  The  duplicate,  with 
a  complete  set  of  vouchers,  will  be  filed  with  the  retained  records  of 
the  hospital.     (See  Appendix:  Records  and  Correspondence.) 

(a)  Returns  of  property  issued  for  personal  use,  including  the 
portable  dental  outfit,  will  be  rendered  at  the  end  of  each  calendar 
year. 

(&)  Returns  of  field  supplies  will  be  made  separately  from  returns 
of  post  supplies.     (See,  however,  par.  504&.) 

508.  Returns  of  dental  property  wiU  be  made  by  the  dentist 
having  custody  thereof. 

SALES. 

509.  When  medical  property  is  sold  the  officer  responsible  therefor 
will  pay  the  necessary  authorized  expenses  of  the  sale,  if  any,  out  of 
the  proceeds,  taking  proper  vouchers  for  such  payments,  and  wiU 
deposit  the  balance  or  net  proceeds,  without  delay,  and  if  possible 
on  or  before  the  last  day  of  the  month  during  wliich  he  receives  the 
proceeds,  with  the  nearest  United  States  depositary,  to  the  credit  of 


172  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

the  Treasurer  of  the  United  States.  Immediately  upon  making  the 
deposit  he  will  notify  the  Surgeon  General  by  letter  direct  of  his 
action,  givmg  the  date  or  dates  of  the  sale  and  the  amomit  of  the 
proceeds  of  the  articles  sold  on  each  date. 

(a)  Within  10  days  after  the  end  of  the  month  during  wliich  he 
receives  the  proceeds  of  the  sales  he  will  render  to  the  Surgeon 
General  direct  an  account  current  (Form  3206  or  Form  320,  W.  D.) 
debiting  liimself  thereon  under  the  proper  heading  Avith  the  net  pro- 
ceeds of  the  sales  and  crediting  himself  with  the  amount  deposited. 
He  will  insert  the  proper  heading,  that  is,  the  designation  of  the 
proper  fund  to  wliich  the  proceeds  go  (see  par.  510)  in  one  of  the  blank 
spaces  provided  therefor  at  the  top  of  the  ruled  columns.  He  will 
forward  with  his  account  an  exhibit  in  duplicate  of  the  articles  sold, 
as  follows : 

First.  In  the  case  of  a  sale  of  condenmed  property  at  auction  or 
on  sealed  proposals,  if  there  were  any  expenses  attending  the  same, 
the  exliibit  will  be  made  out  on  Form  325,  W.  D.,  and  be  accompanied 
by  the  vouchers  for  the  expenses  of  sale;  if  there  were  no  expenses, 
the  exhibit  will  be  made  out  either  on  Form  325  or  on  Form  322, 
W.  D.,  as  the  accountable  officer  may  prefer;  in  either  event,  the 
exhibit  will  be  accompanied  by  a  copy  of  or  a  suitable  extract  from 
the  inventory  and  inspection  report. 

Second.  In  the  case  of  sales  of  medicines  to  civihans  under  para- 
graphs 242  to  244  of  this  Manual  the  exhibit  will  be  made  out  on 
Form  322a,  W.  D. 

Tliird.  In  the  case  of  other  authorized  sales  the  exhibit  will  be  made 
out  on  Form  322,  W.  D. 

(6)  A  duphcate  of  the  account  and  a  triplicate  of  the  exliibit 
should  be  retained  by  the  officer. 

510.  The  proceeds  of  authorized  sales  of  serviceable  medical 
property  accrue  to  the  special  fund  ''Replacing  medical  suppUes" 
for  the  proper  two-year  period,  thus:  Tlie  proceeds  of  sales  made 
durmg  the  fiscal  year  1916  pertam  to  the  fund  "Replacing  medical 
supplies,  1916-17;"  the  proceeds  of  sales  made  during  the  fiscal 
year  1917,  to  the  fund  "Replacing  medical  supplies,  1917-18,"  and 
so  on  from  year  to  year.  The  accountable  oflicer  should  render  his 
accounts  accordingly,  carefully  noting  that  it  is  the  date  of  sale  that 
determuies  the  fund  to  be  credited  and  not  the  date  of  collectmo: 
the  proceeds,  wliich  is  immaterial  m  this  comiection;  otlu>rwise 
embarrassment  in  th(5  adjustment  of  his  accounts  will  follow. 

(a)  The  proceeds  of  sales  of  condenmed  property  accrue  to  "Mis- 
cellaneous receipts,"  and  should  be  so  designated. 


SUPPLIES   AND    MATERIALS.  173 

DISPOSITION    OF    MEDICAL    PROPERTY    ON    ABANDON- 
MENT OF  POSTS. 

511.  Unless  modified  by  special  instructions  from  the  Siu"geon 
General,  the  following  rides  will  be  observed  in  tlie  disposition  of 
medical  property  upon  the  abandonment  of  a  post: 

(a)  Unserviceable  property  ^vill  be  submitted  to  an  inspector,  with 
a  view  to  final  disposition  by  sale  or  destniction. 

(b)  A  list  of  all  other  articles  will  be  forwarded  to  the  department 
surgeon,  or,  in  the  case  of  an  independent  post,  to  the  Surgeon  Gen- 
eral, for  decision  as  to  where  they  shall  be  sent. 

(c)  Onl}^  such  nonexpendable  articles  as  are  in  perfect  order, 
mcluding  recent  medical  works,  and  instruments  which  can  not  be 
transferred  to  other  posts  without  unnecessary  duplication,  should 
be  turned  m  to  a  medical  supply  depot. 

USE  AND  CARE  OF  MEDICAL  PROPERTY. 

512.  Officers  will  be  held  responsible  for  the  serviceable  and  com- 
plete condition  of  all  property  in  their  possession,  except  such  as  may 
have  been  rendered  imserviceable  by  fair  wear  and  tear. 

(a)  Tlie  responsible  officer  will  once  each  year  cause  all  medical 
property  in  liis  charge  to  be  carefully  examined  by  a  commissioned 
medical  officer  and  verified  by  the  returns,  invoices,  etc. 

513.  With  the  permission  of  the  surgeon,  medical  officers  may  take 
books  and  mstruments  from  the  hospital- for  professional  use;  but  no 
medical  property  of  any  description  will  be  taken  away  from  a  post 
by  an  officer  on  being  reheved  or  when  availing  himself  of  a  leave  of 
absence,  except  by  authority  of  the  Surgeon  General,  or,  within  the 
limits  of  the  Philippine  or  Hawaiian  Departments,  by  authority  of 
the  department  surgeon. 

514.  The  stock  of  alcohol,  alcoholic  liquors,  opium,  and  the  salts, 
derivatives,  and  preparations  of  opium  or  coca  leaves  will  be  kept 
in  a  locked  closet  in  the  storeroom  and  only  issued  to  the  dispensary 
in  unit  containers  from  time  to  time  as  may  be  necessary,  upon  the 
written  order  of  a  medical  officer. 

(a)  In  the  storeroom,  receipts  and  expenditures  of  these  articles 
will  be  accoimted  for  in  the  manner  prescribed  for  the  dispensary 
(par.  240). 

515.  Field  supplies  and  equipment  will  not  be  used  at  posts,  except 
when  required  for  purposes  of  instruction. 

516.  Field  chests  and  appliances  will  be  frequently  inspected  and 
kept  in  perfect  order  for  immediate  field  use. 

517.  The  exchange  of  medicines  with  druggists  is  prohibited. 

518.  The  issue  of  articles  for  use  in  the  preparation  of  cleaning 
mixtures,  cosmetics,  or  perfumeiy,  or  for  use  with  spirit  lamps,  etc., 
is  prohibited. 


174  MANUAL  FOR  THE   MEDICAL  DEPARTMENT, 

619.  The  rosponsible  officer  will  cause  all  instnunents  in  his  charge 
to  be  exammed  by  a  commissioned  medical  officer  at  least  once  each 
month. 

520.  Steel  and  plated  instruments  may  be  prevented  from  rusting 
by  keeping  them  in  a  20  per  cent  formalin  solution  saturated  vriih. 
borax. 

621.  Surgical  insti-uments  and  appliances  that  require  and  are  con- 
sidered v7orth  repairing  will  be  reported  through  the  department 
surgeon  to  the  Surgeon  General,  or  in  the  Philippme  or  Hawaiian 
Departments  to  the  department  surgeon,  mth  a  statement  of  the 
repairs  needed,  giving  the  name  of  the  maker  of  each  article. 

622.  The  responsible  officer  will  also  report  to  the  Surgeon  General, 
or  in  the  Philippine  or  Hawaiian  Departments  to  the  department 
surgeon,  such  articles  of  bedding  or  furniture  as  may  need  and  are 
considered  worth  repair  or  renovation.  The  Work  should  be  done  by 
post  labor  if  practicable,  request  being  made  for  authority  to  purchase 
necessary  material.  If  this  is  not  practicable,  the  officer  will  obtain 
one  or  more  estimates  in  detail  of  the  cost  of  repair  or  renovation 
of  such  bedding  or  furniture  and  fonvard  them  with  his  report. 

623.  Blankets  not  in  use  should  be  frequently  examined  and  prop- 
erly protected.  When  stained  but  otherwise  in  good  condition  they 
should  be  continued  in  service.  Hospital  bedding  will  not  be  used  by 
members  of  the  Hospital  Corps,  except  when  on  duty  in  the  wards. 

624.  When  a  type%vriter  is  to  be  transported  the  ribbon  spools 
should  be  removed  and  packed  separately,  the  carnage  of  the  machine 
securely  tied  to  the  base  in  such  a  manner  that  it  can  not  move  in 
any  direction,  and  the  steel  rods  or  blocks  for  locking  the  carriage 
placed  in  position.  Medical  officers  will  be  held  responsible  for  dam- 
ages to  ty]3ewriters  which  result  from  careless  packing. 

625.  Rubber  and  flexible  catheters  and  bougies  will  be  kept  in  talc 
or  glycerin  to  preserve  them. 

626.  When  the  canvas  in  litters  becomes  soiled  it  will  be  removed 
from  the  litters,  washed,  and  replaced.  When  it  becomes  torn  or 
unserviceable  new  canvas  of  the  proper  size  should  be  applied  for  to 
replace  it. 

METEOROLOGICAL  INSTRUMENTS. 

527.  Meteorological  observations  will  be  taken  at  such  posts  as 
may  be  designated  by  the  Surgeon  General,  to  whom  a  rcptu't  will  be 
rendered  promptly  at  the  end  of  each  month  on  the  form  furnished 
by  the  director  of  the  State  section  of  the  Weather  Bureau  and 
through  the  office  of  the  said  director.  Such  meteorological  instru- 
ments as  are  required  for  use  at  designated  posts  will  be  obtained 
by  application  to  the  State  section  director;  and  when  an}'^  of  these 
instruments  become  broken  or  miserviceable  the  request  for  new 


SUPPLIES   AND   MATERIALS.  175 

ones  will  state  the  circumstances  attending  the  breakage,  and,  if  a 
thermometer,  the  parts  of  the  instrument  will  be  returned  by  mail 
to  the  office  of  the  State  director.  Receii)ts  for  these  instruments 
will  be  made  out  by  the  surgeon  on  forms  transmitted  with  the 
instruments.-  When  relieved  from  duty  at  a  station,  the  surgeon 
will  notify  the  State  officer,  in  order  tliat  the  responsibility  for  the 
property  may  be  properly  transferred.  Meteorological  instruments 
heretofore  issued  by  the  Medical  Department  will  be  borne  upon  the 
returns  of  medical  property  until  broken  or  worn  out,  but  articles 
fmiiished  by  the  Weather  Bureau  will  not  be  taken  up  on  these 
returns. 


PART  II. 

THE  SANITARY  SERVICE  IN  WAR. 


93440°— 17 12  177 


ARTICLE  X.— THE  SANITARY  SERVICE  IN  WAR, 

GENERAL. 


ADMINISTRATIVE  ZONES. 

628.  In  time  of  war  the  activities  of  the  mihtary  estabhshment 
embrace: 

(1)  The  service  of  the  interior. 

(2)  The  service  of  the  theater  of  operations. 
529.  The  service  of  the  interior  is  carried  on  by: 

(1)  Department  commanders. 

(2)  Bureau  chiefs,  having  for  this  purpose  general  depots  of  supply, 
general  hospitals,  arsenals,  etc. 

(a)  The  service  of  the  theater  of  operations  is  carried  on  by  the 
commander  of  the  field  forces.  The  theater  of  operations  is  divided 
into  two  zones: 

(1)  The  zone  of  the  Hne  of  commmiications. 

(2)  The  zone  of  the  advance. 

(h)  The  service  of  the  interior  functions  both  in  peace  and  in  war; 
that  of  the  theater  of  operations  in  war  only. 

OBJECTS     OF     MEDICAL     DEPARTMENT     ADMINISTRA- 
TION. 

630.  The  objects  of  Medical  Department  administration  in  war  are: 
(a)  The  preservation  of  the  strength  of  the  Army  hi  the  field  by 

(1)  the  necessary  sanitary  measures;  (2)  the  retention  of  effectives  at 
the  front,  and  the  movement  of  noneffectives  to  the  rear  without 
obstructing  mihtary  operations;  and  (3)  the  prompt  succor  of 
wounded  on  the  battle  field  and  their  removal  to  the  rear,  thus  pre- 
venting the  mmecessary  withdrawal  of  combatants  from  the  firing 
line  to  accompany  the  wounded,  and  promotmg  the  general  morale 
of  the  troops. 

(6)  The  care  and  treatment  of  the  sick  and  hijured  in  the  zone  of 
the  advance,  on  the  hne  of  communications,  and  in  home  territory. 

DUTIES  OF  THE  MEDICAL  DEPARTMENT. 

631.  The  Medical  Department  is  charged  with  the  administration 
of  the  sanitary  service.     Specifically,  its  duties  are: 

(a)  The  initiation  of  sanitary  measures  to  hisure  the  health  of  the 
troops. 

179 


180  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

(h)  The  direction  and  execution  of  all  measures  of  public  liealth 
among  the  inhabitants  of  occupied  territory. 

(c)  The  care  of  the  sick  and  wounded  on  the  march,  in  camp,  on 
the  battle  field,  and  after  removal  therefrom. 

(d)  The  methodical  disposition  of  the  sick  and  wounded. 

(e)  The  transportation  of  the  sick  and  wounded. 

(/)  The  estabhshment  of  hospitals  and  other  formations  necessary 
for  the  care  of  the  sick  and  womided. 

(g)  The  supply  of  sanitary  materiel  necessary  for  the  health  of 
troops  and  for  the  care  of  the  sick  and  wounded. 

(h)  The  preparation  and  preservation  of  individual  records  of  sick- 
ness and  mjury,  in  order  that  claims  may  be  adjudicated  with  justice 
to  the  Government  and  to  the  individual. 

PERSONNEL  OF  THE   SANITARY  SERVICE. 

GENERAL    ENUMERATION. 

632.  In  time  of  war  the  sanitary  service  includes: 

(1)  All  persons  servmg  in  or  employed  by  the  Medical  Department, 
including  officers  and  men  temporarily  or  permanently  detailed 
therein. 

(2)  Members  of  the  American  National  Ked  Cross  assigned  to  duty 
with  the  Medical  Department  by  competent  authority. 

(3)  Individuals  whose  vohmtary  service  with  the  Medical  Depart- 
ment is  duly  authorized. 

(a)  The  personnel  of  the  Medical  Department  and  aU  other  pereons 
assigned  to  duty  wath  that  department  are  collectively  called  sani- 
tary troops. 

533.  The  foUowing  persons  serve  in  or  are  employed  by  the  Medical 
Department: 

(1)  Medical  officers  of  the  Regular  Army  (including  officers  of  the 
Medical  Reserve  Corps),  of  the  Organized  Mihtia  called  into  the  service 
of  the  United  States,  and  of  the  Volunteer  Army. 

(2)  Physicians  under  contract. 

(3)  Members  of  the  Dental  Corps. 

(4)  Members  of  the  Hospital  Corps. 

(5)  Members  of  the  Nurse  Corps. 

(6)  Officers  and  soldiers  of  the  fine  or  staff  detailed  for  duty  with 
the  Medical  Department. 

(7)  Civihans  employed  by  the  Medical  Department. 

TITLES   OF  MEDICAL  OFFICERS. 

534.  The  title  of  the  senior  medical  officer  on  the  staff  of  the  com- 
mander of  a  field  army  is  "chief  surgeon";  of  a  lino  of  communica- 
tions, "sm'geoji,  base  group";  of  a  division,  "division  surgeon";  of  a 


THE   SANITARY   SERVICE   IN   WAR,   GENERAL.  181 

brigade  operating  iiidepoiidently,  "brigade  surgeon";  of  a  detach- 
ment, regiment,  or  smaller  command,  "the  surgeon";  of  a  field  hos- 
pital or  other  sanitary  formation,  and  of  an  ambulance  company  or 
detachment  thereof,  "commanding  officer." 

ORGANIZED  VOLUNTARY  AID. 

635.  Organized  voluntary  aid  may  be  utilized  to  supplement  the 
resources  and  assist  the  personnel  of  the  Medical  Department  through 
the  American  National  Red  Cross  under  the  authority  of  the  act  of 
Congress  approved  April  24,  1912  (37  Stats.,  90).  This  organization, 
in  accordance  with  the  terms  of  its  charter  (Act  Jan.  5,  1905,  33  Stats., 
600),  is  "a  medium  of  communication  between  the  people  of  the 
United  States  and  their  Army."  No  volunteer  aid  from  any  society 
or  association  will,  therefore,  be  accepted  for  the  Army  of  the  United 
States  except  through  the  American  National  Red  Cross. 

636.  The  following  regulations,  approved  by  the  President  of  the 
United  States,  govern  the  status,  organization,  and  operations  of  this 
society  when  employed  with  the  Army: 

(a)  The  organized  Red  Cross  units  serving  with  the  land  forces 
will  constitute  a  part  of  the  sanitary  service  of  the  land  forces. 

(b)  Wlien  the  War  Department  desu'es  the  use  of  the  services  of 
the  Red  Cross  in  time  of  war,  or  when  war  is  imminent,  the  Secretary 
of  War  will  communicate  with  the  president  of  the  society,  specifying 
the  character  of  the  services  required  and  designating  the  place  or 
places  where  the  personnel  and  materiel  will  be  asseml)led. 

(c)  Wlien  any  member  of  the  Red  Cross  reports  for  duty  with  the 
land  forces  of  the  United  States,  pursuant  to  a  proper  call,  he  will 
thereafter  be  subject  to  military  laws  and  regulations  as  provided  in 
Article  10  of  the  International  Red  Cross  Convention  of  1906,  and  will 
be  provided  with  the  necessary  brassard  and  certificate  of  identity. 

(d)  Except  in  cases  of  great  emergency.  Red  Cross  personnel  serv- 
ing with  the  land  forces  will  not  be  assigned  to  duty  at  the  front,  but 
will  be  employed  in  hospitals  in  the  service  of  the  interior,  at  the  base, 
on  hospital  ships,  and  along  lines  of  communications  of  the  military 
forces  of  the  United  States. 

(e)  Red  Cross  organizations  will  not  establish  independent  hos- 
pitals or  other  mstitutions,  but  will  assist  military  sanitary  forma- 
tions at  the  places  above  indicated. 

(/)  Before  military  patients  are  assigned  thereto,  separate  estab- 
lishments maintained  by  the  Red  Cross  Society  will  be  placed  under 
the  immediate  direction  of  a  medical  officer  of  the  Army.  Such 
officer  will  be  held  responsible  for  the  management,  discipline,  and 
records  of  the  institution;  he  will  regulate  admissions  and  discharges 
and  see  that  the  interests  of  both  the  Government  and  the  patients 
are  conserved. 


182  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

(g)  No  columns,  sections,  or  individuals  of  the  Red  Cross  Society 
%vill  be  accepted  for  service  by  the  War  Department  miless  previously 
inspected  by  a  medical  officer  of  the  Army  and  found  qualified  for 
the  scr\ace  expected  of  them, 

(h)  The  Red  Cross  Society  may  be  called  upon  in  time  of  war,  or 
when  war  is  impendhig,  for  the  foUowmg  classes  of  personnel: 

(1)  Physicians  and  surgeons. 

(2)  Dentists. 

(3)  Pharmacists. 

(4)  Nurses. 

(5)  Clerks. 

(6)  Cooks  and  other  hospital  personnel. 

(7)  Litter  bearers,  drivers,  and  other  transport  personnel. 

(8)  Laborers. 

(i)  To  facilitate  the  training  of  Red  Cross  personnel  for  the  duties 
it  may  be  called  upon  to  perform  in  time  of  war,  it  is  divided  into 
three  classes: 

Class  A.  Those  willing  to  serve  wherever  needed. 

Class  B.  Those  willing  to  serve  in  the  service  of  the  interior  only. 

Class  C.  Those  willing  to  serve  at  place  of  residence  only. 

Class  A  wiQ  be  organized  into  sections  and  columns,  uniformed  and 
equi})ped  as  may  be  prescribed  by  the  central  conmaittee  of  the  Red 
Cross  and  approved  by  the  War  Department.  Such  organized  and 
equipped  sections  and  columns  will  be  trained  for  service  at  the  bases 
and  along  the  lines  of  communication  of  the  forces  in  the  field. 

Class  B  will  be  tramed  lor  service  m  hospitals  and  other  sanitary 
institutions  that  may  be  established  m  the  sendee  of  the  interior. 
Individuals  of  this  class  may  also  be  organized  into  sections  and 
columns  and  uniformed  and  equipped  as  prescribed  for  class  A. 

Class  C  will  be  composed  of  individuals  of  local  Red  Cross  Societies, 
who,  on  accomit  of  their  occupation  or  experience  m  the  care  of  sick 
and  other  hospital  duties,  may  be  expected  to  render  efficient  service 
m  military  sanitary  institutions  established  in  their  locaHty. 

(j)  The  Red  Cross  service  at  the  base,  along  the  line  of  communica- 
tions, or  in  a  mUitaiy  district  will  be  under  the  supervision  of  a 
director  general,  who  will  conduct  the  service  under  the  du'ection  of 
the  chief  surgeon  of  the  field  army  or  expeditionary  force. 

(k)  For  service  at  the  base  and  along  lines  of  commimications  Red 
Cross  personnel  will  be  organized  into — 
Field  columns. 
Hospital  columns. 
Supply  columns. 
Information  bureau  sections. 

(Z)  Field  columns  will  supplement  and  assist  the  regular  transport 
in  the  transportation  of  patients  from  field  hospitals  to  evacuation 


THE    SANITARY    SERVICE    IN    WAR,    GENERAL.  183 

and  base  hospitals,  b}^  the  use  of  litters,  ambulances,  hospital  trains, 
trains  for  patients,  hospital  ships,  and  ships  for  patients;   by  the 
establishment  of  rest  and  food  stations,  and  by  the  performance  of 
such  other  duties  as  they  may  be  called  upon  to  perform. 
Field  columns  wiU  be  organized  as  foUows: 

1  director. 

4  assistant  directors. 

4  section  chiefs. 

16  assistant  section  chiefs. 

64  men. 
Afield  colunni  will  be  composed  of  four  sections,  each  consisting  of — 

1  assistant  director. 

1  section  chief. 

4  assistant  section  chiefs. 

16  men. 
In  addition  to  the  above,  each  director  of  a  column  will  have  a 
staff  of  two  section  chiefs  to  keep  the  records  and  conduct  the  supply 
service  of  the  column. 

Directors  and  assistant  directors  must  be  qualified  physicians  in 
good  standing. 

The  training  of  field  columns  should  mclude  instruction  in  first 
aid,  elementary  hygiene,  and  Hospital  Corps  drill.  The  personnel  of 
such  columns  should  be  made  practically  familiar  with  the  use  of  the 
various  appliances  (includmg  improvisations)  for  transporting  sick 
and  wounded,  such  as  litters,  ambulances,  and  other  vehicles,  with 
the  fitting  up  of  trains  and  ships  for  patients,  and  with  other  simi- 
lar duties.  Instruction  should  also  be  given  in  tlie  organization  and 
conduct  of  rest  and  food  stations.  Some  personnel  of  each  column 
shoidd  also  be  made  proficient  in  methods  of  disinfection. 

(m)  Hospital  columns  must  be  prepared  to  supplement  and  assist 
military  hospital  formations,  to  perforin  the  necessary  ward  service, 
and  to  take  up  certain  branches  of  hospital  work,  such  as  laundering 
and  repair  of  linen,  the  management  of  kitchens,  etc.  Sections  of 
hospital  colunnis  may  also  be  assigned  to  duty  on  hospital  trains 
and  ships,  and  to  other  military  sanitary  institutions. 

Hospital  columns  for  service  at  the  base  and  along  the  line  of  com- 
munications will  be  organized  as  foUows: 

1  director. 

3  assistant  directors. 

6  chief  nurees. 

45  nurses. 

Such  number  of  cooks  ward  orderlies,  and  laborei-s  as  may  be 
necessary. 


184  MANUAL    FOR    THE    MEDICAL   DEPARTMENT. 

The  hospital  cohimn  will  ]>v  composed  of  three  sections,  each  con- 
sisting of — 

1  assistant  director. 

2  chief  nurses. 
15  nurses. 

Such  numher  of  cooks,  ward  orderlies,  and  lahorers  as  may  be 
necessary.     . 

In  addition  to  the  above,  each  director  of  a  column  will  have  a 
staff  of  two  section  chiefs  to  keep  the  records  and  conduct  the  supply- 
service  of  the  column,  and  such  number  of  staff  pln-^sicians  as  may 
be  deemed  expedient. 

Directors,  assistant  directors,  and  staff  physicians  must  be  qualified 
practitioners  of  medicine  in  good  standing. 

The  staff  of  the  director  of  a  hospital  column  may  also  include 
dentists. 

The  training  of  hospital  columns  should  comprise,  in  addition  to 
strictly  professional  subjects,  practical  instruction  in  methods  and 
materiel  used  in  evacuation  and  base  hospitals,  and  in  hospital  trains 
and  ships.  Methods  and  means  of  improvising  hospital  accommo- 
dations from  local  resources  should  also  be  included. 

(n)  Supply  columns,  composed  of  pharmacists  and  others  experi- 
enced in  handling  medical  and  hospital  supplies,  clerks,  teamsters, 
and  laborers,  will  be  organized  for  the  purpose  of  establishing  and 
conducting  a  Red  Cross  supply  service  in  connection  with  the  military 
sanitary  supply  department. 

The  training  of  the  personnel  of  supply  columns  must  mclude  prac- 
tical instruction  concerning  the  kind  and  character  of  supplies  used  in 
the  sanitary  service,  the  methods  of  purchase,  inspection,  distribu- 
tion, and  such  methods  of  accounting  as  may  be  prescribed  b}^  the 
central  committee  of  the  Red  Cross. 

(o)  Information  bureau  sections  composed  of  clerks,  stenog- 
raphers, and  typewriters  will  serve  under  the  immediate  super- 
vision of  directors  general  of  the  Red  Cross,  and  will  be  instructed 
in  methods  of  correspondence,  and  of  obtaining  the  necessary  informa- 
tion from  military  authorities  concerning  sick  and  wounded  and  the 
dead,  for  the  purpose  of  furnishing  such  information  to  relatives  and 
friends.  Information  bureau  sections  may  also  bo  attached  to  the 
bureau  of  information  for  prisoners  of  war. 

(p)  A  register  will  be  kept  in  the  olhce  of  the  Surgeon  General 
of  the  Army,  upon  which  will  be  entered  the  name,  place,  strength, 
equipment,  and  efficiency  of  organized  Red  Cross  units.  No  organ- 
ization will  be  entered  on  the  register,  however,  unless  it  shall  have 
been  inspected  and  approved  by  a  representative  of  the  War  Depart- 
ment.    A  Red  Cross  unit  that  has  been  inspected  niul  found  (juaUfied 


THE    SANITARY    SERVICE    IN    WAR,   GENERAL.  185 

will  be  carried  on  the  register  for  one  year  after  date  of  such  inspec- 
tion. 

Applications  from  columns  or  sections  for  entry  upon  the  Surgeon 
General's  register  will  be  forwarded  through  Red  Cross  channels  to 
The  Adjutant  General  of  the  Army. 

Applications  from  columns  or  sections  borne  on  the  Surgeon 
General's  register  for  continuance  on  said  register  will  bo  submitted 
annually  on  or  before  June  1,  through  Red  Cross  channels,  to  The 
Adjutant  General  of  the  Army. 

(q)  Members  of  organized  columns  when  in  service  will  wear  the 
uniform  prescribed  by  the  central  committee  and  approved  by  the 
War  Department.  Their  equipment  will  be  assimilated  to  that  used 
in  the  sanitary  service. 

(r)  The  personnel  serving  with  the  land  and  naval  forces  in  time 
of  war  or  threatened  hostilities  will,  while  proceeding  to  their  place 
of  duty,  while  serving  thereat,  and  while  returning  therefrom,  be 
transported  and  subsisted  at  the  cost  and  charge  of  the  United 
States  as  civilian  employees  employed  with  said  forces.  Red  Cross 
supplies  that  may  be  tendered  as  a  gift  and  accepted  for  use  in  the 
sanitary  service  will  be  transported  at  the  cost  and  charge  of  the 
United   States. 

(s)  Forage  will  be  issued  to  Red  Cross  organizations  in  the  field  in 
case  of  emergency  only,  upon  the  guarantee  of  the  Red  Cross  author- 
ities that  such  issues  will  be  replaced,  or  the  cost  thereof  refimded. 

(t)  When  available,  suitable  quarters  may  be  assigned  to  the  Red 
Cross  in  active  service. 

INDIVIDUAL  VOLUNTARY  AID. 

537.  The  chief  surgeon  of  a  field  army,  a  division  surgeon,  a  surgeon 
base  group,  or  the  surgeon  of  any  organization  operating  independ- 
ently may,  in  emergency,  with  the  consent  of  his  commanding 
officer  and  under  the  authority  of  the  Surgeon  General,  accept  service 
volunteered  individually  by  civihan  physicians,  nurses,  litter  bearers, 
cooks,  etc. 

538.  The  officer  accepting  such  services  will  assign  volunteers  to 
duty  according  to  the  circumstances  of  the  emergency.  They  may, 
when  the  necessity  is  great,  be  utilized  in  the  zone  of  the  advance; 
but  as  a  rule  they  are  accepted  for  duty  only  on  the  line  of  com- 
munications or  in  the  service  of  the  interior. 

539.  The  commanding  officer  of  a  general  hospital  may  accept 
similar  individual  volunteer  service  in  his  hospital  when  authorized 
by  the  Surgeon  General. 

640,  The  services  of  individual  volunteers  who  do  not  appear  to  be 
physically  robust  and  able  to  withstand  the  hardships  to  which  they 
arc  likely  to  be  exposed  should  invariably  be  rejected. 


186  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

641.  Individual  volunteers  whose  services  are  accepted  will  be 
under  the  immediate  orders  of  the  officers  commanding  the  hospitals 
or  other  sanitary  formations  to  which  they  may  be  assigned. 

INSIGNIA     OF     SANITARY     PERSONNEL,     FORMATIONS, 

AND    MATERIEL. 

(Sec  Rules  of  Land  Warfare.) 

642.  In  campaign,  all  persons  belonging  to  the  sanitary  service 
and  chaplains  attached  to  the  Army  wear  on  the  left  arm  a  brassard 
bearing  a  red  cross  on  a  white  ground,  the  emblem  of  the  sanitary 
service  of  armies.  This  brassard  is  issued  and  stamped  with  a 
number  by  competent  authority,  and  in  case  of  persons  who  do  not 
have  military  uniforms  it  is  accompanied  by  a  certificate  of  identity. 

543.  Brassards  will  be  issued  to  the  uniformed  personnel  of  the 
sanitary  service  and  to  chaplains  by  the  senior  medical  officer  of  the 
organization  with  which  they  are  on  duty.  To  other  individuals 
entitled  thereto  under  the  provisions  of  the  Geneva  convention 
brassards  and  certificates  of  identity  (Form  61)  will  be  issued  by 
the  division  surgeon,  surgeon,  base  group,  the  department  surgeon,  or 
the  Surgeon  General,  as  the  case  may  require.  The  certificate  of 
identity  will  bear  the  same  number  as  the  brassard. 

544.  The  person  to  whom  a  certificate  of  identity  is  issued  will 
retain  it  in  his  personal  possession  and  exhibit  it  when  called  upon 
by  competent  authority  to  do  so.  Care  will  be  exercised  to  prevent 
the  certificate  of  identity  or  its  container  from  coming  into  the  hands 
of  another  pei-son.  The  loss  of  a  brassard  or  of  a  certificate  will  be 
investigated  and  reported  by  the  immediate  commander  to  the 
office  which  issued  the  lost  article. 

645.  All  sanitary  formations  display  during  daylight  (reveille  to 
retreat)  the  Eed  Cross  flag  accompanied  by  the  National  flag.  If 
a  sanitary  formation  falls  into  the  hands  of  the  enemy  it  displays 
while  in  such  situation  the  Red  Cross  flag  only.  At  night  the  positions 
of  sanitary  formations  are  marked  by  green  lanterns — a  camp  infirmary 
by  one  green  lantern;  a  field  hospital  by  two  green  lanterns,  one  above 
the  other;  and  an  ambulance  company  or  its  dressing  station  by  on(i 
green  lantern  above   one  white  lantern. 

546.  All  materiel  pertaining  to  the  sanitary  service  is  also  marked 
with  the  Red  Cross  emblem,  a  red  cross  on  a  white  ground. 

STATUS   OF  SANITARY  PERSONNEL  AND   MATERIEL. 

(See  Rules  of  Land  Warfare.) 

547.  All  persons  mentioned  in  paragraph  .5.'^2  and  armed  detach- 
ments or  sentinels  ordered  by  competent  authority  to  guard  sanitary 
formations  are  respected  and  protected  under  all  circumstances.  If 
they  fall  into  the  hands  of  the  enemy,  they  do  not  become  prisoners  of 


THE    SANITARY    SERVICE    IN    WAR,    GENERAL.  187 

war  but  are  disposed  of  as  provided  in  Article  1 2  of  the  Geneva  conven- 
tion, 1906.  In  order  to  obtain  this  protection,  the  commanding  officer 
of  every  sanitary  formation  shoidd  require  of  his  subordinates  a 
strict  observance  of  the  terms  of  the  Geneva  convention. 

648.  The  disposition  of  captured  sanitary  materiel  is  governed  by 
the  provisions  of  Chapter  IV  of  the  Geneva  convention,  1906. 

649.  In  order  that  materiel  may  be  entitled  to  the  protection  af- 
forded by  the  Geneva  convention,  it  must  be  set  apart  for  the  use  of 
the  sanitary  service  exclusively.  To  this  end,  transportation  which 
properly  pertains  to  the  Medical  Department  is  assigned  to  that 
department  and  will  not  be  diverted  therefrom  by  commanders  sub- 
ordinate to  the  one  by  whom  such  assignment  was  made  nor  by  offi- 
cers of  other  staff  departments.  This  includes  ambulances,  wagons, 
and  animals,  with  their  personnel,  hospital  trains,  ships,  and  boats, 
together  with  the  crews  for  working  such  trains,  ships,  and  boats. 

(a)  Transportation  for  the  temporary  use  of  the  Medical  Depart- 
ment, including  wagon  and  railway  trains,  boats,  etc.,  is  reported  by 
the  officer  in  charge  to  the  senior  medical  officer,  under  whose  orders 
such  transportation  remains  until  the  -special  work  to  which  it  was 
assigned  is  completed. 

(h)  Medical  and  other  supplies  for' the  use  of  the  sick  and  wounded 
are  transported,  so  far  as  possible,  by  the  Medical  Department  with 
its  own  transportation. 

GUARDS  FOR  THE  SANITARY  SERVICE. 

650.  When  necessary,  armed  guards  are  furnished  from  the  line 
for  the  protection  of  the  sanitary  service,  and  the  personnel  of  the 
latter  may  also  be  armed  and  use  their  arms  in  self-defense  or  in  defense 
of  the  sick  and  wounded.  Field  hospitals,  when  not  parked  with 
the  divisional  trains,  are  ordinarily  guarded  by  ambulance  companies, 
guards  from  the  line  being  detailed  only  when  this  is  impracticable. 
Other  sanitary  formations  are  furnished  guards  by  army,  division, 
line  of  communications,  or  detachment  commanders,  as  the  case  may 
be.  When  the  commander  of  such  a  guard  is  a  commissioned  officer, 
he  confers  with  the  medical  commander  as  to  the  character  of  the 
guard  duty  desired  by  the  latter,  but  exercises  no  control  over  the 
sanitary  formation. 

MEDICAL  SUPPLIES. 

551.  In  combat,  expenditures  of  surgical  dressings  and  similar  arti- 
cles from  the  equipment  of  troops  on  the  line  are  normally  replenished 
from  the  reserve  supplies  of  the  nearest  ambulance  company  or 
camp  infirmary.  No  formal  requisitions,  invoices,  or  receipts  wiU 
be  required. 

(a)  In  emergencies  the  division  surgeon  may  authorize  the  transfer 
of  supplies  between  other  sanitary  formations.     If  the  supplies  so 


188  MANUAL    FOR    THE    MEDICAL    DEPARTMENT. 

transferred  are  nonex})endable,  invoices  and  receipts  will  bo  executed 
and  forwarded  in  the  usual  manner. 

(h)  Medical  Department  blank  forms  for  the  use  of  troops  not 
under  the  jurisdiction  of  a  department  commander,  operating  with  a 
tactical  command  mobilized  for  field  service,  wdiether  in  the  theater 
of  operations  or  in  the  interior,  or  in  time  of  war  or  of  peace,  will  be 
procured  by  requisition,  Form  37,  on  the  chief  medical  officer  of  the 
command  (camp  surgeon,  division  surgeon  or  surgeon  medical  base 
group  as  the  case  may  be),  who  will  alter  and  approve  the  same  at 
discretion  for  issue  from  his  emergency  reserve  or  from  the  proper 
depot.  (See  paragraphs  885  and  961).  Blank  forms  of  other  staff 
departments  will  be  procured  as  provided  by  the  regulations  of  those 
departments  or  by  Army  Regulations. 

(c)  Supply  depots  on  the  line  of  communications  obtain  their  sup- 
plies in  the  manner  prescribed  in  paragraphs  782  to  792.  (C.  M. 
M.  D.,  No.  2.) 

552.  With  the  exceptions  noted  in  the  preceding  paragraph,  all 
medical  supplies  for  troops  in  the  theater  of  operations  will  be  re- 
quired for  on  emergency  special  requisitions  (Form  35).  These 
requisitions  will  be  made  in  duplicate.  Those  from  divisional  troops 
will  be  forwarded  to  the  division  surgeon.  This  officer  will  modify 
them  at  his  discretion,  and  if  the  requisition,  as  approved,  is  within 
the  hmits  of  the  prescribed  allowances  for  the  organization  making  it, 
the  original  will  be  forwarded  to  the  most  convenient  depot  for  issue. 
If  the  requisition  as  approved  calls  for  articles  in  excess  of  the  pre- 
scribed allowances,  it  will  be  forwarded  to  the  surgeon,  base  group, 
for  his  action:  Requisitions  from  sanitary  formations  on  the  Hue  of 
communications  will  be  forwarded  thi'ough  medical  channels  to  the 
surgeon,  base  .group,  who  will  modify  them  at  his  discretion  and  for- 
ward the  origmal  to  the  most  convenient  depot  for  issue.  In  all  cases 
the  duphcate  copy  of  the  requisition  will  be  returned  to  the  office  of 
origin  wath  modifications,  if  any,  noted  thereon. 

(«)  In  emergencies  medical  supplies  may  be  issued  to  evacuation 
ambulance  companies  and  evacuation  hospitals  on  requisitions  ap- 
proved by  the  surgeon,  advance  group. 

553.  Sanitary  formations  operating  in  the  service  of  the  interior 
obtain  their  medical  supplies  as  prescribed  for  time  of  peace.  (See 
pare.  477  to  495.) 

554.  Medical  and  other  supplies  for  the  use  of  the  sick  and  woimded 
are  transported,  so  far  as  possible,  by  the  Medical  l)o{)artment  with 
its  own  transportation.  Supplies  which  can  not  be  thus  transported 
are  invoiced  to  the  Quartermaster  Corps  for  transportation,  and  their 
shipment  is  expedited  as  much  as  possible,  amnmnition  and  rations 
alone,  as  a  rule,  having  precedence.  When  necessary,  members  of 
the  Hospital  Corps  are  detailed  to  accompany  medical  property. 

555.  The  method  by  which  supplies  are  fonvarded  from  the 
line  of  communications  and  distributed  to  troops  in  the  zone  of  the 
advance  is  described  in  Field  Service  Regulations:  Supply  Service. 


THE    SANITARY    SERVICE    IN    WAR,   GENERAL.  189 

CORRESPONDENCE,  REPORTS,  RETURNS,  AND  RECORDS. 

556.  The  reports  and  returns'  prescribed  by  regulations  all  serve 
a  useful  purpose  in  facilitating  the  proper  distribution  and  mainte- 
nance of  the  forces  at  front  and  rear,  in  preserving  their  mobility, 
in  providing  them  with  the  necessary  funds,  supplies,  and  equip- 
ments, in  securing  a  proper  account  and  record  of  the  various 
measures  taken  regarding  them,  and  generally  in  promoting  the 
efficiency  of  military  action.  If  the  required  papers  are  not  promptV 
and  correctly  prepared,  valuable  experience  which  might  be  utilized 
for  improvement  in  methods  will  be  lost;  coordination,  of  paramount 
unportance  in  campaign,  will  fail;  the  interests  not  only  of  the 
Govenmient  but  of  the  individual  soldier  as  well  will  be  sacrified; 
the  Hospital  Corps  and  Medical  Department  units  will  be  improperly 
and  msufficiently  suppUed;  the  dead  will  be  unaccounted  for;  and 
the  sick  and  wounded  under  treatment  will  suffer  needless  misery 
and  privation.  Medical  officers  must  accordingly  use  ever}^  endeavor 
under  all  conditions  of  service  to  insure  the  prompt  and  correct 
execution  of  the  prescribed  reports  and  returns. 

557.  Correspondence,  reports,  and  returns  which  in  time  of  peace 
wouhl  be  forwarded  to  or  through  the  department  surgeon  as  pre- 
scribed in  Part  I  of  this  Manual  will,  in  the  theater  of  operations,  be 
forwarded  to  the  division  surgeon  if  from  organizations  or  persons  serv- 
ing with  mobilized  divisions,  and  to  the  surgeon,  base  group,  if  from 
organizations  or  persons  on  duty  with  the  line  of  communications. 

558.  All  the  usual  reports  and  returns  required  of  medical  officers  in 
time  of  peace  are  given  in  paragraph  398.  Such  of  these  as  are  applic- 
al)le  to  the  changed  conditions  will  be  made  in  time  of  war.  The  fol- 
lowing special  reports  and  forms  are  required  only  during  campaign: 

(a)  Daily  field  rejjort  of  sanitary  personnel  and  transportation 
(Form  82). — This  report  will  be  made  daily  to  the  proper  medical 
superior  by  the  senior  medical  officer  of  every  organization  in  the 
field,  a  copy  being  retained.  Telegraphic  report  of  the  data  called 
for  thereon  may  be  required  if  necessary. 

(b)  Daily  field  report  of  patients  (Form  83). — This  report  will 
likewise  be  rendered  daily,  as  in  the  preceding  case. 

(c)  Monthly  reports  from  dimsional  sanitary  inspectors  required 
by  paragraph  747a,  Form  50. 

(d)  Reports  of  the  sanitary  inspections  of  Medical  Department 
organizations  required  by  paragraph  748a,  Form  506. 

(e)  Certificate  of  identity  (Form  61). — This  certificate  is  issued 
to  those  who  are  entitled  to  wear  a  brassard  but  who  do  not  wear  a 
uniform.     (See  pars.  542  and  543.) 

(/)  Diagnosis  tags. — -On  the  battle  field  diagnosis  tags  are  applied 
to  all  sick,  wounded,  and  dead  and  are  used  in  recording  and  report- 
ing casualties.     (See  pars.  567  to  574.) 

(g)  List  of  sick  and  wounded  (Form  53). — With  the  exceptions  noted 
in  paragraph  575  tliis  form  will  be  used  as  a  substitute  for  Forms 


190  MANUAL    FOR    THE    MEDICAL   DEPARTMENT. 

51,  51a,  5lh,  and  52  in  reporting  and  recording  the  sick  and  wounded 
in  the  theater  of  operations. 

(70  Return  of  casualties  (Form  149,  A.  G.  O.). — This  report  is 
made  after  every  action  in  which  casualties  have  occurred,  by  the 
commanding  officer  of  each  independent  organization.  Casualties 
pertaming  to  the  personnel  of  the  organization  making  the  report 
only  should  be  included.  Regimental  surgeons  funiish  regimental 
commanders  with  information  necessary  for  the  preparation  of  the 
report. 

(i)  In  the  case  of  Medical  Department  units  which  have  quarter- 
master accountability  such  additional  records,  reports,  returns, 
etc.,  as  are  required  by  the  Quartermaster  Corps  must  be  kept  and 
made. 

559.  The  various  blank  forms  for  the  preparation  of  the  papers 
required  by  the  several  departments  concerned  are  enumerated 
in  paragraphs  961  to  965.  They  must  be  obtained  as  indicated  therein 
for  time  of  peace  or,  in  the  case  of  troops  in  the  theater  of  operations, 
as  prescribed  in  paragraph  551?). 

560.  Division  surgeons  and  other  medical  officers  in  the  field 
whose  functions  are  analogous  to  those  of  division  surgeons  will 
conduct  their  paper  work  along  the  lines  indicated  in  paragraph  368. 
In  the  zone  of  the  advance,  paper  work  should  be  reduced  to  the 
minimum  consistent  with  maintaining  the  efficiency  of  the  service, 
the  hiterests  of  the  Government  and  of  individuals. 

561.  On  the  conclusion  of  a  campaign  division  surgeons  and  the 
surgeon,  base  group,  will  make  a  report  to  the  chief  surgeon  of  the 
field  army  of  the  work  of  the  Medical  Department  under  their  super- 
vision during  the  campaign.  The  chief  surgeon  of  the  field  army 
will  make  a  consolidated  report  to  the  Surgeon  General,  covering 
the  work  of  the  Medical  Department  of  the  entire  Army  during  the 
campaign,  and  will  forward  therewith  the  reports  received  from  the 
division  surgeons  and  the  surgeon,  base  group. 

562.  After  the  conclusion  of  an  engagement  each  ambulance 
company,  field  hospital,  evacuation  ambuhmce  company,  and  evacua- 
tion hospital  will  make  a  special  report  of  its  work  during  the  engage- 
ment to  the  proper  medical  superior;  and  hospital  trains,  trains  for  pa- 
tients, hospital  ships,  and  ships  for  patients  will  upon  the  completion  of 
each  trip  make  a  report  thereof  to  the  surgeon,  base  group,  or  to  the 
Surgeon  General  if  the  train  or  ship  is  operatmg  under  his  immediate 
direction. 

563.  Medical  supply  depots  on  the  line  of  conuinmications  wiU 
make  returns,  reports,  and  records  similar  to  those  of  home  depots. 
In  addition  they  will  make  to  the  surgeon,  base  group,  the  daily  field 
reports  of  sanitary  personnel  and  transportation  requiretl  by  para- 
graph 558. 


THE    SANITARY    SERVICE    IN    WAR,   GENERAL.  191 

564.  The  correspondence  book  and  document  lile  system  of  keeping 
correspondence  records  will  be  used  by  all  sanitary  formations  in 
the  theater  of  operations  unless,  in  special  instances,  a  more  elaborate 
system  is  prescribed  by  proper  authority.  (See  Appendix:  Records 
and  Correspondence,) 

565.  An  hidelible  pencil  may  be  used  for  correspondence  and  in 
the  preparation  of  all  reports  and  returns  except  muster  rolls,  pay 
rolls,  discharge  certificates,  and  final  statements. 

566.  When,  in  the  theater  of  operations,  retained  records  accumu- 
late to  such  an  extent  as  to  be  burdensome  to  an  organization,  they 
wiU  be  classified  according  to  the  staff  department  to  which  they 
respectively  pertain,  securely  wrapped  and  labeled  and  forwarded 
for  safe  keeping  to  the  surgeon,  base  group,  or  to  such  other  officer 
as  the  division  surgeon  may  direct.  The  labels  should  show  the 
character  of  the  contents  of  each  package,  the  name  of  the  organiza- 
tion to  which  they  belong,  and  the  inclusive  dates  which  the  records 
cover. 

RECORDS   OF    SICK   AND   WOUNDED. 

667.  During  and  after  an  engagement  diagnosis  tags  will  be. 
attached  to  all  womided  and  dead  as  soon  as  practicable.  They  wiU 
be  made  out  ui  duplicate. 

568.  In  the  case  of  wounded  the  primary  purpose  of  the  tag  is  to 
advise  the  medical  officers  under  whose  observation  the  womided 
successively  come  of  the  treatment  previously  given  at  the  several 
points  of  relief  on  the  field  or  on  the  way  to  the  rear. 

569.  The  tag  mil  be  made  out  by  the  first  medical  officer  or  member 
of  the  Hospital  Corps  who  treats  the  man  previous  to  admission  to  a 
hospital  on  the  line  of  communications.  (It  is  unnecessary  to  tag  a 
patient  who  is  admitted  to  a  hospital  on  the  line  of  communications 
without  having  been  previously  tagged.)  If  the  patient  is  badly 
hurt,  the  identification  tag  may  be  utilized  to  obtain  the  necessary 
information  concerning  his  name,  rank,  etc.  The  origmal  diagnosis 
tag  will  be  attached  to  the  patient's  clothing. 

570.  The  dead  found  on  the  field  will  be  tagged  in  each  case  by 
the  Medical  Department  troops  who  first  reach  the  body,  in  order 
that  other  medical  personnel  may  not  lose  time  examming  it.  The 
tag  wiU  be  attached  to  the  clothing  of  the  deceased. 

571.  Tlie  dupHcates  of  the  diagnosis  tags  wiU  be  disposed  of  as 
follows : 

(a)  Those  made  out  by  the  sanitary  personnel  of  an  organization 
for  the  officers  and  sokUers  of  their  own  command  will  be  retained 
by  the  surgeon  until  disposed  of  as  provided  in  paragraph  574. 

(6)  Those  made  out  for  officers  and  soldiers  of  other  commands 
will  be  transmitted  as  soon  as  possible  after  the  close  of  each  day  of 


192  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

an  engagement  to  the  division  surgeon  accompanied  by  the  check 
list  directed  to  be  sent  to  that  ojfficer  by  paragraph  579. 
572.  The  original  tags  will  be  disposed  of  as  follows: 
(a)  Tliose  of  wounded  who  are  returned  from  aid  stations  to  the 
firmg  Ime  without  going  farther  to  the  rear  will  be  removed  and 
retained  by  the  regimental  surgeon. 

(6)  Those  of  wounded  who  are  retmTied  to  their  organizations 
direct  from  dressing  stations  (par.  682)  or  from  the  station  for 
shghtly  womided  (par.  714a)  will  be  removed  upon  their  reporting 
for  duty  and  be  turned  over  to  the  surgeons  of  their  several  organiza- 
tions, respectively. 

(c)  Those  of  wounded  who  are  admitted  to  a  field  hospital  and 
retamed  there  for  definitive  treatment  will  be  removed  and  forwarded 
to  the  division  surgeon.  If  the  patients  are  subsecpently  transferred 
to  the  line  of  communications,  they  wiU  not  be  retagged,  but  wiU  be 
accompanied  by  transfer  lists  in  regular  form  (par.  583). 

(d)  Those  of  wounded  who  are  being  evacuated  from  the  zone  of 
the  advance  will  not  be  disturbed  until  the  patients  are  admitted  to 
hospital  on  the  line  of  communications,  when  the  tags  will  be  removed, 
stamped  with  the  name  of  the  admitting  hospital,  and  the  date  of 
receipt  of  the  patient,  and  forwarded  immediately  to  the  division 
surgeon  of  the  division  to  which  the  wounded  belong. 

(e)  Tliose  of  wounded  who  die  while  in  transit  from  the  field  to 
hospital  (the  death  in  each  case  being  noted  on  the  tag  as  required 
by  the  printed  instructions  in  the  tag  book),  and  the  tags  attached  to 
the  dead  found  on  the  field,  will  be  removed  when  the  bodies  are  pre- 
pared for  interment  or  equivalent  disposal,  and  will  be  sent  likewise 
to  the  division  surgeon. 

673.  The  division  surgeon  will  cause  the  tags  received  by  liim  in 
compliance  with  paragraphs  571  and  572  to  be  distributed  without 
delay  to  the  senior  medical  officers  of  the  commands  to  which  the 
men  tagged  belong,  so  that  they  may  be  available  in  accounting  for 
officers  or  soldiers  who  would  otherwise  be  carried  as  missmg  on  the 
returns  of  their  organizations. 

574.  Having  served  their  purpose  in  completing  the  records  of  the 
organizations,  all  the  tags,  both  originals  and  duplicates,  wiU  be  for- 
warded with  the  next  periodical  fists  of  sick  and  wounded  therefrom. 

575.  The  register  of  patients  prescribed  by  paragraph  427  and  the 
monthly  report  of  sick  and  wounded  by  paragraph  458  are  not  re- 
quired from  mobile  troops  or  commands  in  the  theater  of  operations. 
In  lieu  tliereof  a  record  or  list  of  the  sick  and  wounded  ■\^'ith  i'vvrj 
mobile  command  in  the  theater  of  operations  which  is  accompanied 
by  a  medical  officer  will  be  kept  day  by  day  by  such  officer  on  Form 
53,  as  directed  in  the  followhig  paragraplis  and  in  tlie  instructions 
prmted  on  the  forju.     Field  hospitals  immobilized   and   acting  as 


THE    SANITARY    SERVICE    IN    WAR,   GENERAL.  193 

camp  hospitals,  evacuation  hospitals,  base  hospitals,  supply  depots, 
contagious  disease  hospitals,  field  laboratories,  and  other  similar 
sanitary  formations  will  not  be  regarded  as  mobile  units  within  the 
meaning  of  this  paragraph,  but  will  keep  the  register  of  patients  and 
render  monthly  reports  of  sick  and  wounded  in  accordance  with  the 
regular  rule. 

576.  The  list  of  sick  and  wounded  will  contain  a  record  of  the 
following  cases : 

(a)  Every  officer  or  soldier  with  the  command  who  is  excused  from 
duty  on  account  of  sickness  or  injury,  or  who  receives  a  wound  of 
any  character  in  action  whether  it  involves  excuse  from  duty  or  not. 

(h)  Every  officer  or  soldier  with  the  command,  not  currently  on 
the  list,  who  is  sent  to  another  command  or  place  for  observation  or 
treatment. 

(c)  Every  officer,  not  currently  on  the  lisl,  who  departs  from  the 
command  on  sick  leave. 

(d)  Every  officer  or  soldier  with  the  command,  not  currently  on 
the  hst,  who  is  retired,  or  discharged  for  disabiUty,  or  dies ;  and  every 
civilian  with  the  command  who  dies. 

677.  In  determining  the  cases  to  be  entered  on  the  list  of  sick  and 
wounded  under  the  provisions  of  paragraph  576,  officers  and  soldiers 
who  are  killed  or  wounded  in  action  wiU  be  considered  as  with  the 
command  by  whose  sanitary  personnel  they  are  tagged.  The  names 
of  such  officers  and  soldiers  will  therefore  not  necessarily  appear  on 
the  list  of  sick  and  wounded  of  their  own  organization.  (See 
par.  579a.) 

578.  Except  as  provided  in  paragraph  580,  the  list  of  sick  and 
wounded  will  be  made  in  duplicate,  and  at  the  end  of  the  month 
covered  by  it  the  original  thereof  will  be  forwarded  thi'ough  medical 
channels  to  the  Surgeon  General.     The  duplicate  will  be  retained. 

579.  After  the  close  of  each  day  of  an  engagement  the  casualties 
resulting  from  the  action  will  be  entered  on  the  monthly  list  of  sick 
and  wounded  in  two  groups,  first  those  suffered  by  the  personnel  of 
the  organization  making  the  Hst,  second  those  occurring  among  the 
personnel  of  other  organizations.  An  extra  carbon  copy  of  that 
portion  of  the  list  containing  entries  of  the  first  group  will  be  made 
and  sent  immediately  to  the  organization  commander  to  enable  him 
to  prepare  his  return  of  casualties  (Form  149,  A.  G.  O.)  or,  if  preferred, 
the  extra  carbon  copy  for  the  organization  commander  may  be  made 
on  Form  149  direct,  as  the  size  and  ruling  of  the  two  forms  are  similar. 
An  extra  carbon  copy  of  that  portion  of  the  list  containing  entries 
of  the  second  group  will  be  made  in  like  manner  and  immediately 
sent  to  the  division  surgeon  in  order  that  there  may  be  at  the  head- 
quarters of  the  division  a  check  upon  the  names  of  men  reported  as 

93440°— 17 13 


194  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

inissiiig  in  the  casualty  retui'iis  of  the  organizations  to  which  they, 
belong. 

(a)  In  entering  on  the  list  of  sick  and  wounded  the  casualties 
resulting  from  an  engagement  there  should  be  included  only  those 
cases  which  have  not  been  previously  tagged  by  members  of  other 
organizations  and  in  the  case  of  field  hospitals  those  retained  for 
definitive  treatment  (par.  572c),  except  that  all  cases  transferred  to 
the  lino  of  communications  should  be  recorded  by  the  organization 
transferring  them  in  order  that  there  may  be  a  record  within  the 
division  of  the  final  disposition  of  such  cases.     (See  par.  577.) 

580.  Stations  for  slightly  wounded  will  make  a  single  copy  of  the 
list  of  sick  and  wounded.  At  the  end  of  each  day  and  when  the 
station  is  closed  the  list  will  be  sent  at  once  to  the  division  surgeon. 

681 .  Evacuation  ambulance  companies  should  include  in  their  list  of 
sick  and  wounded  only  such  cases  as  pertain  to  their  own  personnel  and 
suchcases  as  may,  under  exceptional  circumstances,  fall  into  theirhands 
without  having  been  previously  tagged  by  other  sanitary  formations. 

682.  Hospital  trains  and  hospital  ships  make  complete  lists  in 
regular  monthly  form  only  of  cases  occurring  among  their  own  per- 
sonnel and,  in  the  case  of  a  hospital  ship,  of  cases  admitted  thereto 
for  definitive  treatment. 

683.  "^i^Tiero  patients  are  transferred  from  mobile  organizations  at 
the  front  to  the  line  of  communications  a  nominal  list  of  them  should 
if  practicable  be  prepared  in  duplicate  by  the  transferring  officer, 
the  original  of  which  should  be  receipted  and  returned  to  him  by  the 
receiving  officer.  Extra  carbon  copies  of  so  much  as  may  be  per- 
tinent of  the  transferring  officer's  regular  list  on  Form  53  may  be 
made  for  this  purpose.  Transfers  from  camp  hospitals  in  the  zone 
of  the  advance,  should  there  be  any  such,  will  be  accomplished  by 
regular  transfer  cards  (par.  575). 

(a)  The  duplicates  of  the  nominal  lists  mentioned,  or  the  transfer 
cards  as  the  case  may  be,  furnished  as  above  to  an  evacuation  ambu- 
lance company,  will  be  turned  over  to  the  evacuation  hospital  or  other 
sanitary  formation  to  which  it  delivers  the  patients.  Similar  disposi- 
tion will  be  made  by  a  hospital  train  or  hospital  ship  of  the  nominal 
lists  or  transfer  cards  received  by  it. 

684.  Should  a  hospital  train  or  hospital  ship  receive  patients  unac- 
companied by  nominal  lists  or  transfer  cards,  the  commanding  officer 
of  the  train  or  ship  will  as  soon  as  practicable  prepare  a  nominal  list 
of  such  patients  on  Form  53  (separate  and  apart  from  his  regular 
monthly  list  of  sick  and  wounded)  for  disposition  as  above  provided. 
Should  the  preparation  of  such  a  list  be  impracticable  he  will  list  the 
patients  who  seem  to  be  in  danger  of  death  so  as  to  be  able  if  death 
occurs  to  report  the  necessary  details. 


THE    SANITARY    SERVICE    IN    WAR,   v'^.ENERAL. 


195 


(a)  Should  any  of  the  easos  bo.  lost  en  route  by  death,  capture,  etc., 
he  will  without  delay  report  the  cases  so  lost,  giving  the  date  and 
nature  of  the  loss,  to  the  surgeon,  base  group,  or  if  the  movement  of  the 
sick  and  wounded  is  under  the  immediate  direction  of  the  Surgeon 
General,  direct  to  him,  forwarding  with  such  report  the  transfer  cards 
(if  any  have  been  received)  of  the  patients  so  lost. 

(&)  In  the  case  of  sick  and  wounded  necessarily  left  at  a  hospital 
other  than  the  one  designated  to  receive  them,  their  transfer  cards,  or 
a  nominal  list,  as  the  case  may  be,  will  be  left  with  the  conunanding 
officer  of  such  hospital,  and  a  similar  report  of  the  patients  so  disposed 
of  will  be  made  at  once. 

ORGANIZATION  OF  THE  MEDICAL  DEPARTMENT  IN 

WAR. 

585.  The  details  of  organization,  the  amounts  and  kinds  of  trans- 
portation allowed,  and  the  factors  on  which  the  allowance  of  trans- 
portation is  based,  are  given  in  Tables  of  Organization. 

586.  The  following  table  gives  an  outhne  of  the  organization  "of  the 
Medical  Department  in  war: 


Surgeon 
General. 


Service    of   the 
interior. 


Department  surgeons. 

Medical  service,  moliilization  camps. 

Medical  service,  concentration  camps. 

Camp  hospitals. 

General  hospitals. 

Convalescent  camps. 

Hospitals,  ports  of  embarkation. 

Surgeons,  ports  of  embarkation. 

Hospitals  for  prisoners  of  war. 

Memcal  supply  depots. 

Hospital  trams  and  trains  for  patients. 

Rest  stations. 

Hospital  ships  and  ships  for  patients. 

Sanitary  inspectors. 


Theater  of  op 
erations  (chief 
surgeon,  field 
army). 


Zone  of  the  ad- 
vance (divi- 
sion   sur 
geons). 


Zone  of  the  line 
of  communi- 
cations (sur- 
geon, base 
group). 


Medical  department  personnel  on  duty  with  line  organizations. 

i Directors  of  anibu-  jCainp  infirmaries, 
lance  compMiies.  \Ambulance  companies. 
°hos*itlls°^    ^*''^}Field  hospitals. 

Base  section  (surgeon,  base  group): 

Base  medical  supply  depot. 

Base  hospitals. 

Convalescent  camps. 

Contagious  disease  hospitals. 

Trains,  boats,  and  ships. 

Casual  camps  for  sanitary  troops. 

Sanitary  squads. 

Field  laboratories. 

American  National  Red  Cross  units. 

Sanitary  inspectors. 
Intermediate  section  (surgeon.  Intermediate  group): 

Rest  stations. 

American  National  Red  Cross  units. 
Advance  section  (surgeon,  advance  group): 

Advance  medicsal  supply  depot. 

_     ..  1       Ti  /Evacuation  hospitals. 

banitary  column.  ^Evacuation  ambulance  companies. 


ARTICLE  XI.— THE  SERVICE  OF  THE  INTERIOR. 

GENERAL. 

587.  During  time  of  active  military  operations  such  peace 
organizations  of  the  Medical  Department  in  the  service  of  the  interior 
(par.  528)  as  post  hospitals,  general  hospitals,  and  medical  supply 
depots  must  be  largely  augmented  to  meet  the  changed  conditions 
and  to  provide  for  the  increased  number  of  sick  and  wounded.  The 
requirements  of  the  theater  of  operations,  which  must  receive  first 
consideration,  will  necessitate  the  substitution  to  a  very  large  extent 
of  personnel  from  the  Medical  Reserve  Corps,  the  Volunteers,  the 
American  National  Red  Cross  and  other  civilian  sources,  in  place  of 
the  Medical  Corps,  Hospital  Corps,  and  Army  Nurse  Corps  assigned 
to  these  institutions  in  tune  of  peace.     (See  par.  538.) 

588.  As  a  part  of  the  service  of  the  interior  a  medical  service  for 
the  transportation  of  the  sick  and  wounded  and  their  care  while  in 
transit  will  be  organized  in  rear  of  the  theater  of  operations. 

589.  Before  a  command  leaves  its  station  or  camp  in  home  terri- 
tory en  route  to  a  camp  of  concentration,  or  to  the  theater  of  opera- 
tions, all  members  thereof  and  all  civihans  who  are  to  accompany  it 
should  be  examined  to  ascertain  their  freedom  from  contagious 
disease  and  their  physical  fitness  for  the  contemplated  movement. 

590.  In  movements  of  troops  by  rail  the  senior  medical  officer  of 
the  command  will  inspect  the  accommodations  provided,  giving 
special  attention  to  the  water  supply,  and  will  make  proper  recom- 
mendations for  the  correction  of  any  defects  observed. 

591.  The  several  kinds  of  Medical  Department  organizations 
required  in  the  service  of  the  interior  in  time  of  war  are  indicated  in 
paragraph  58G. 

MOBILIZATION   CAMPS. 

(See  Army  Regulations:  Organized  Militia.) 

592.  The  places  of  assembly  for  Volunteers  and  for  the  Organized 
Militia  of  a  State,  Territory,  or  the  District  of  Columbia  when  called 
into  the  service  of  the  United  States  are  known  as  mobilization 
camps. 

593.  The  sanitary  service  of  a  mobilization  camp  is  under  the  direc- 
tion of  the  senior  medical  officer  on  the  staff  of  the  camp  commander, 
who  will  be  designated  camp  surgeon.  So  far  as  practicable  officers 
of  the  Medical  Corps  only  will  be  detailed  as  surgeons  of  mobihzation 
camps. 

196 


THE   SERVICE   OF    THE   INTERIOR.  197 

594.  The  chief  objects  to  be  attained  by  the  Medical  Department 
at  camps  of  mobilization  are: 

(a)  To  make  the  physical  examinations  prescribed  in  Army  Regu- 
lations and  to  secure  accurate  records  of  the  condition  of  officers  and 
men  upon  their  admission  to  the  Federal  service.  This  will  be  effected 
ia  accordance  with  instructions  from  the  War  Department. 

(6)  To  make  physical  examinations  of  civilians  attached  to  troops 
and  to  exclude  those  who  are  unfit  for  the  contemplated  service. 

(c)  To  administer  prophylactic  vaccinations.  A  record  of  these 
vaccmations  will  be  kept  as  prescribed  in  paragraphs  187,  188,  and  193. 

((Z)  To  equip  all  nidividuals  and  organizations  with  such  articles 
of  Medical  Department  property  as  are  requu-ed  by  existing  orders, 
and  to  completely  equip  all  individuals  and  organizations  pertaining 
to  the  Medical  Department. 

(e)  To  instruct  all  nidividuals  and  organizations  so  far  as  practicable 
in  personal  and  camp  hygiene,  and  in  addition  to  instruct  Medical 
Department  personnel,  commissioned  and  enlisted,  in  the  routine 
work  of  the  Medical  Department  in  the  field.  An  important  factor 
in  the  instruction  will  be  the  object  lesson  afforded  by  the  achnin- 
istration  of  the  camp  and  the  measures  inaugurated  for  the  mainte- 
nance of  sanitary  conditions  therein.  This  instruction  will  be  carried 
out  under  the  immediate  supervision  of  the  camp  surgeon  actmg 
under  the  direction  of  the  department  surgeon.  It  will  be  system- 
atically arranged  and  will  foUow  a  defmite  program  furnished  by  the 
department  sui^eon. 

595.  AM  letters  and  reports  to  the  department  surgeon,  the  division 
surgeon  (unless  he  is  in  camp),  or  the  Surgeon  General  will  be  for- 
warded through  the  camp  surgeon  in  order  that  they  may  be  returned 
to  the  writer  for  correction,  if  necessary. 

596.  Tlie  equipment  for  a  camp  hospital,  varying  accordmg  to  the 
anticipated  strength  of  the  camp,  will  be  supplied  to  mobihzation 
camps  by  direction  of  the  War  Department,  without  requisition. 

597.  SuppUes  and  equipment  pertaming  to  the  Medical  Depart- 
ment in  the  hands  of  organizations  temporarily  at  camps  of  mobihza- 
tion will  be  maintained  intact,  bemg  used  only  for  purposes  of  drill 
and  instruction.  The  camp  surgeon  will  provide  a  suitable  place  m 
which  the  medical  persoimel  attached  to  organizations  may  hold 
sick  call  and  will  furnish  the  necessary  supplies  for  the  treatment  of 

the  sick. 

CONCENTRATION   CAMPS. 

(See  F.  S.  R.:  Service  of  the  Interior.) 

698.  The  places  which  are  selected  by  the  War  Department,  when 
war  is  imminent  or  has  been  declared,  for  the  assembly  of  troops  for 
joint  operations  or  for  embarkation,  are  known  as  concentration 
camps. 


198  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

599.  The  sanitaiy  service  of  a  concentration  camp  is  under  the 
direction  of  the  senior  medical  officer  on  the  staff  of  the  camp 
conunander, 

(rt)  In  addition  to  his  routine  duties  as  camp  surgeon  it  will  be  the 
duty  of  this  officer  to  continue  the  instruction  of  the  personnel  begun  at 
the  home  stations  of  the  troops  or  at  the  mobilization  camps;  to  ascer- 
tain by  mspection  of  descriptive  lists,  vaccination  registers,  and  other 
records  available  whether  the  prescribed  vaccinations  and  physical 
examinations  of  all  the  personnel  of  the  camp  have  been  made  and 
to  complete  such  inoculations  or  vaccmations  as  may  be  necessary; 
and  by  proper  measures  to  make  sure  that  all  troops  are  equipped  as 
contemplated  in  regulations.     (See  par.  594.) 

600.  A  camp  hospital  will  be  provided  for  the  camp  upon  requisi- 
tion by  the  camp  surgeon,  unless  other  hospital  facilities  are  available 
in  the  immediate  vicinity. 

601 .  Tlie  supplies  and  equipment  pertaining  to  the  Medical  Depart- 
ment in  the  hands  of  organizations  temporarily  at  the  camp  will  be 
maintained  intact,  bemg  used  only  for  purposes  of  drill  and  instruc- 
tion. The  camp  surgeon  will  provide  a  suitable  place  in  which  the 
personnel  attached  to  organizations  may  hold  sick  call  and  will  fur- 
nish the  necessary  supplies  for  the  treatment  of  the  sick.    > 

CAMP  HOSPITALS. 

602.  A  camp  hospital  is  an  immobile  miit  organized  and  equipped 
for  use  in  camps  where  the  care  of  the  sick  would  otherwise  result  in 
the  immobihzation  of  field  hospitals  or  other  sanitary  formations 
pertaining  to  organizations. 

603.  Department  and  division  surgeons  and  other  administrative 
officers  charged  with  providing  for  the  sick  and  wounded  under  field 
service  conditions  will  prevent  the  immobilization  of  sanitary  forma- 
tions pertaining  to  organizations  by  providmg  for  the  estabhshment 
of  camp  hospitals  where  necessary. 

604.  The  equipment  and  personnel  of  a  camp  hospital  will  vary 
with  the  requirements  of  the  situation.  A  suitable  camp  hospital  for 
one  or  two  regiments  may  be  formed  with  a  regimental  hospital 
equipment,  less  transportation  (pars.  869  and  872),  as  a  nucleus.  A 
camp  hospital  for  a  brigade  or  larger  organization  may  utihze  the 
equipment  of  a  field  hospital  (par.  879  only)  as  a  nacleus.  In  para- 
graph 886  will  be  found  a  list  of  supplemental  supplies  for  the  equip- 
ment of  camp  hospitals,  more  or  less  of  which  will  be  necessary 
according  to  the  conditions  which  are  to  be  met.     (See  also  par.  859.) 

605.  A  camp  hospital  is  under  the  control  of  tlie  senior  medical 
officer  on  the  stafi"  of  the  camp  commander  and  is  administered  by 
him  or  by  one  of  his  subordinates. 


THE   SEBVICE   OF   THE   TNTElIIOPw  199 

OENERAL  HOSPITALS.  '  ' 

606.  Additional  general  hospitals  will  be  established  by  the  Surgeon 
General  in  time  of  war  at  such  points  as  may  be  deemed  most  suitable. 

CONVALESCENT  CAMPS. 

607.  Convalescent  camps  will  be  estabhshed  as  branches  of  general 
hospitals  whon  necessary.  The  commandiug  officer  of  the  hospital 
will  also  command  the  camp. 

(a)  Such  camps  will  be  used  for  patients  who  no  longer  need  hos- 
pital treatment  but  are  not  yet  in  sufficiently  vigorous  health  to 
return  to  their  commands, 

608.  Patients  in  convalescent  camps  will  be  borne  upon  the  register 
of  sick  and  wounded  at  the  general  hospital.     (See  par.  447.) 

HOSPITALS,  PORTS   OF  EMBARKATION. 

609.  At  a  port  of  embarkation  where  there  is  a  general  hospital 
any  further  hospital  accommodations  that  may  be  required  will  be 
operated  as  branches  of  the  general  hospital.  At  a  port  of  embarka- 
tion where  there  is  no  general  hospital,  a  port  of  embarkation  hos- 
pital wiU  be  esta,blished  and  operated  under  the  immediate  control 
of  the  surgeon,  port  of  embarkation. 

SURGEONS,  PORTS   OF  EMBARKATION. 

610.  The  surgeon,  port  of  embarkation,  is  the  sanitary  adviser  of 
his  commanding  officer  in  all  matters  pertaining  to  the  Medical 
Department.  He  is  charged  with  (1)  the  control  of  the  port  of 
embarkation  hospital  when  it  is  not  a  branch  of  a  general  hospital; 
(2)  the  provision  of  medical  attendance  at  the  headquarters  to  which 
he  is  assigned;  (3)  the  medical  supermtendence  of  the  transport 
service ;  (4)  the  provision  of  medical  supplies,  including  those  required 
by  transports;  (5)  the  duties  of  camp  surgeon  (par.  599)  of  the  con- 
centration camp  so  long  as  it  is  controlled  by  the  commander  of  the 
port  of  embarkation, 

HOSPITALS  FOR  PRISONERS   OF  WAR. 

611.  Hospitals  for  prisoners  of  war  will  be  established  by  the  Sur- 
geon General  at  points  determined  upon  by  the  Secretary  of  War. 
They  will  have  the  status  of  general  hospitals,  and  as  such  each  will 
be  managed  under  the  direction  of  the  Surgeon  General,  except  that 
the  officer  charged  with  the  custody  and  safe-keeping  of  the  prisoners 
will  maintain  such  guards  over  the  hospital  as  may  be  necessary  to 
prevent  the  escape  of  the  prisoners  therein. 


200  MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

MEDICAL  SUPPLY  DEPOTS. 

612.  Additional  medical  supply  depots  will  be  established  by  the 
Surgeon  General  as  he  may  deem  necessary,  having  due  regard  for  the 
sources  of  supply  and  the  facilities  for  distribution. 

HOSPITAL  TRAINS  AND  TRAINS  FOR  PATIENTS. 

613.  Hospital  trains  are  Medical  Department  organizations  and 
will  be  provided  by  the  War  Department  when  required  for  the  trans- 
portation of  the  sick  and  wounded.  In  cases  of  emergency  when 
liospital  trains  are  not  available  ordmary  trains  for  patients  wiU  be 
provided  for  the  temporary  use  of  the  Medical  Department. 

614.  A  hospital  train  made  up  of  10  cars,  of  which  8  are  for  patients 
(capacity  200),  is  allowed,  in  accordance  with  Tables  of  Organization, 
a  personnel  of  3  medical  officers  (captains  or  lieutenants) ;  3  noncom- 
missioned officers  (1  sergeant  first  class,  2  sergeants);  2  acting  cooks; 
22  privates  fii-st  class  and  privates  (20  nurses,  2  orderlies). 

615.  The  equipment  of  hospital  trains  and  the  personnel  and  equip- 
ment of  trains  for  patients  will  be  determined  according  to  the  needs 
of  each  case. 

616.  Hospital  trains  and  trains  for  patients  in  the  service  of  the 
interior  will  operate  under  the  direction  of  the  Surgeon  General. 
Each  train  will  be  under  the  command  of  the  senior  medical  officer 
on  duty  therewith. 

617.  The  commanding  officer  of  a  train  will,  some  hours  before  it 
is  due  at  the  hospital  which  is  to  receive  its  patients,  notify  the 
commanding  officer  of  the  latter  by  telegram  of  the  time  of  its  arrival 
and  the  number  of  patients  to  be  provided  for. 

REST   STATIONS. 

618.  Rest  stations  will  be  organized  at  points  on  the  railway  lines 
where  attention  can  best  be  given  to  sick  and  wounded  en  route. 
So  far  as  possible  the  personnel  of  such  stations  will  be  obtained 
from  the  American  National  Red  Cross. 

HOSPITAL  SHIPS  AND   SHIPS  FOR  PATIENTS. 

619.  On  over-sea  expeditions  hospital  ships  and  ships  for  patients 
may  both  be  required.  They  will  be  provided  by  the  War  Depart- 
ment. 

620.  Hospital  sliips  are  Medical  Department  organizations  and  will 
be  used  solely  by  that  department.  Ships  for  patients  are  ordinary 
transports  or  vessels  turned  over  to  the  Medical  Department  for  tem- 
porary use  in  emergencies  when  hospital  ships  are  not  available. 

621.  The  personnel  of  a  hospital  ship  (capacity  200  beds)  consists 
of  5  medical  ofTiccM-s  (1  fioutenant  colonel  or  major,  4  captains  and 


THE   SERVICE    OF    THE   INTERIOR,  201 

lieutenants);  5  nonoonimissioned  officers  (1  sergeant  first  class,  4  ser- 
geants); 5  acting  cooks;  30  privates  first  class  and  privates  (29 
nurses,  1  orderly). 

622.  The  equipment  of  hospital  ships  and  the  personnel  and  equip- 
ment of  ships  for  patients  will  bo  determined  according  to  the  needs 
of  each  case. 

623.  Hospital  ships  (including  those  furnished  by  the  American 
National  Red  Cross)  and  ships  for  patients  while  in  use  as  such  wiU 
be  commanded  by  medical  officers  of  the  Army. 

624.  In  addition  to  carrying  sick  and  wounded  between  ports, 
hospital  sliips  and  ships  for  patients  may  be  utihzed  for  carrying 
Medical  Department  personnel  and  supplies  when  this  does  not  inter- 
fere with  their  primary  object. 

625.  So  far  as  possible  the  commanding  officer  of  the  ship  will 
notify  the  receiving  hospital,  in  advance,  of  the  prospective  time  of 
arrival  and  the  number  of  patients  aboard. 

SANITARY  INSPECTORS. 

626.  Mihtary  establishments  in  the  service  of  the  interior  operated 
under  the  direct  control  of  the  War  Department  will  be  inspected  by 
sanitary  inspectors  designated  by  the  Surgeon  General.  The  duties 
of  such  officere  are  analogous  to  those  of  department  sanitary  in- 
spectors, and  they  wnll  be  governed  by  the  regulations  prescribed  for 
the  latter  (pars.  371  to  374)  in  so  far  as  they  are  applicable  to  the 
chano;ed  conditions. 


ARTICLE  Xn.— THE  THEATER  OF  OPERATIONS, 

GENERAL. 


REQUIREMENTS  FOR  AN  EFFICIENT  SANITARY  SERVICE. 

627.  The  mobility  of  an  army  may  be  the  factor  which  deter- 
mines its  success  or  its  failure.  It  is  therefore  highly  important  (1) 
that  the  army  should  be  relieved  as  promptly  as  possible  of  the 
encumbrance  of  its  sick  and  wounded;  (2)  that  this  should  be  accom- 
plished without  obstructing  other  military  operations  in  progi*ess, 
and  with  the  minimum  of  transportation  and  personnel. 

(a)  In  view  of  these  requirements,  it  is  evident  that  the  sanitary 
service  must  be  thoroughly  organized;  that  it  must  operate  syste- 
matically, and  that  its  personnel  should  have  had  thorough  prelimi- 
nary training. 

628.  Efficient  medical  administration  should  therefore  provide: 
(1)  In  the  zone  of  the  advance,  only  emergency  treatment  for  the 
wounded  and  their  prompt  transportation  to  the  rear;  (2)  in  the 
zone  of  the  line  of  communications,  a  service  so  complete  in  equip- 
ment, supplies,  and  personnel  that  it  will  afford  the  sick  and  wounded 
all  the  facilities  and  comforts  of  the  service  of  the  interior,  rendering 
it  unnecessary  to  transport  farther  to  the  rear  such  patients  as  will 
later  be  able  to  rejoin  their  commands;  (3)  in  every  sanitary  station 
from  the  firing  ,line  to  the  base,  a  careful  classification  of  the  sick 
and  wounded  according  to  the  nature  and  severity  of  their  disabili- 
ties, with  a  view  to  such  disposition  as  will  pi'event  any  uiuiecessary 
depletion  of  the  combatant  forces. 

629.  For  the  evacuation  of  the  sick  and  wounded  to  the  rear  it 
will  be  necessary  for  the  Medical  Department  to  utilize  all  available 
transport.  In  addition  to  that  normally  assigned  to  the  department, 
combat  wagons  and  field  train  wagons  when  authorized  by  competent 
authority,  automobiles,  and  other  impressed  civilian  transportation 
of  all  kinds,  should  be  obtained  and  used  when  the  situation  demands. 

202 


ARTICLE  Xin.— THE  ZONE  OF  THE  ADVANCE. 


CLASSIFICATION   OF  THE   SANITARY   SERVICE. 

630.  The  sanitary  personnel  of  the  zone  of  the  advance  may  be 
divided  into  two  general  groups,  as  follows:  First,  that  attached  to 
line  organizations  smaller  than  a  brigade,  wliich  functions  under  the 
immediate  orders  of  the  organization  commanders ;  second,  that  com- 
prismg  the  sanitary  trains,  which  functions  under  the  orders  of  divi- 
sion surgeons  in  accordance  with  such  general  or  specific  instructions 
as  they  may  receive  from  their  division  commanders. 

SANITARY    TROOPS    ON    DUTY    WITH    LINE    ORGANIZA- 
TIONS. 

(See  also  Field  Service  Regulations.) 

631.  Sanitary  troops  with  line  organizations,  including  detach- 
ments with  regiments,  battahons,  trains,  etc.,  vary  in  personnel  with 
the  strength  of  the  organization  served  and  the  nature  of  the  duties 
they  are  required  to  perform.  (See  Tables  of  Organization:  IFar — 
Regimental  Organizations.) 

632.  When  a  regiment  is  operating  independently  the  Medical 
Department  equipment  available  for  its  use  consists  of  the  first-aid 
packet  carried  by  each  officer  and  enlisted  man  of  the  Army  as  a  part 
of  his  individual  equipment ;  the  articles  carried  as  individual  ec{uip- 
mcnt  by  each  medical  officer  (par.  86-4)  and  by  each  member  of  the 
Hospital  Corps  (par.  865) ;  the  combat  equipment  (pars.  866  and  867) ; 
the  camp  infirmary  equipment  (pars.  869  and  870) ;  and  the  additional 
articles  necessary  for  the  estabUshment  of  a  regimental  hospital 
(par.  872). 

(a)  The  additional  articles  for  the  regimental  hospital  will  be  taken 
to  the  field  only  under  circumstances  requiring  the  organization  to 
provide  hospital  care  for  its  own  sick  and  wounded. 

633.  Wlien  a  regiment  or  other  line  organization  is  operating  as  a 
part  of  a  division  the  Medical  Department  equipment  provided  for 
its  exclusive  use  consists  of  the  first-aid  packets  and  individual  equip- 
ments mentioned  in  the  preceding  paragraph,  and  the  combat  equip- 
ment (pars.  866  and  867).  A  small  box  of  surgical  dressings  (par. 
954)  and  one  or  more  litters  are  earned  on  each  ammunition  wagon. 
The  requisite  articles  for  the  establishment  of  the  aid  station  are 
carried  on  the  pack  mule  allotted  the  sanitary  service,  wliich  marches 

203 


204  MANUAT.   FOE    THE    MEDICAL   DEPAETMENT. 

vsdth  the  combat  train  of  the  organization.  The  medical  officer 
responsible  for  this  equipment  wiU  see  that  it  is  complete  and  that  it 
is  maintained  intact  for  service  in  combat. 

(a)  On  the  march  and  in  camp,  with  the  exceptions  noted  in  para- 
graph 601,  the  medical  supplies  and  dispensary  service  required  by- 
regimental  organizations  are  provided  thi'ough  the  medium  of  the 
camp  mfirmary, 

(h)  In  combat  it  is  contemplated  that  the  expenditiu-es  of  dressings, 
etc.,  from  the  equipment  of  regimental  organizations  will  bo  replen- 
ished from  the  reserve  supplies  of  the  nearest  ambulance  company  or 
camp  infirmary.     (See  par.  551.) 

634.  The  surgeon  of  a  line  organization  is  both  an  advisory  and  an 
administrative  officer  (par.  361). 

(a)  He  commands  the  sanitary  troops  on  duty  with  the  organiza- 
tion. 

(b)  He  is  the  adviser  of  the  organization  commander  in  medical 
and  sanitary  matters  and,  to  the  extent  of  his  authority,  is  responsible 
for  the  execution  of  sanitary  measures  in  connection  with  the 
organization. 

(c)  He  provides  care  and  treatment  for  the  sick  and  wounded,  and 
is  responsible  for  the  efficient  performance  of  the  entire  sanitary 
service  of  the  organization. 

(d)  He  makes  sueli  sanitary  inspections  as  may  be  necessary.  In 
connection  therewith  he  supervises  the  water  supply  and  its  purifica- 
tion, the  sanitation  of  kitchens,  the  disposal  of  garbage  and  waste 
water,  the  police  of  latrines  and  urinals  and  the  filling  in  and  mark- 
ing of  the  same  when  discontinued,  the  police  of  bathing  places  and 
picket  lines,  the  measures  taken  for  the  destruction  of  flies  and  mos- 
quitoes, and  all  other  sanitary  procedures  necessary  to  preserve  the 
health  of  the  command. 

(e)  He  instructs,  at  suitable  times  designated  by  the  commanding 
officer,  the  entire  personnel  of  the  organization  in  personal  hygiene 
and  first  aid. 

(/)  He  trains  his  subordinates  in  all  departments  of  field  sanitary 
work. 

ig)  He  makes  timely  requisition  for  necessary  supplies  and  equip- 
ment. 

635.  On  the  march  the  duties  of  the  sanitary  personnel  are  to 
render  first  aid  where  required,  to  transport  the  sick  and  wounded, 
and  to  make  suitable  disposition  of  them  on  arrival  in  camp. 

636.  Ordinarily  the  surgeon  marches  with  the  regimental  com- 
mander, and  one  medical  officer  marches  in  the  rear  of  each  battahon. 
Each  officer  is  mounted  and  accompanied  by  a  mounted  orderly. 
The  remaining  regimental  sanitary  persomiel  usually  march  with  the 
battalion  units.  '«  •>biin  >l')n(|  o.. 


THE   ZONE   OF   THE   ADVANCE.  205 

637.  When  out  of  the  presence  of  the  enemy,  ambulances  are  ordi- 
narily ordered  distributed  by  the  division  commander  throughout  the 
column,  in  the  rear  of  regiments,  battalions,  etc.  Unless  otherwise 
ordered  these  ambulances  join  their  companies  at  the  end  of  the  day's 
march  or  at  the  beginnmg  of  an  engagement.  When  a  regiment 
operates  independently  it  may  be  assigned  its  full  quota  of  four 
ambulances.     (See  pars.  673  and  721.) 

638.  A  soldier  falling  out  of  the  marching  column  from  sickness  or 
injury  is  sent  to  a  medical  officer  in  the  rear,  with  a  pass  from  his 
company  commander,  showing  the  soldier's  name  and  organization. 
The  medical  officer  returns  the  pass,  showing  the  disposition  made  of 
the  soldier.  The  man  may  be  given  authority  to  ride  in  the  ambu- 
lance at  the  rear  of  the  regiment,  or  his  arms  and  personal  equipment 
may  be  carried  in  the  ambulance,  and  he  may  march  at  the  rear  of  the 
regiment  with  the  sanitary  detachment. 

639.  When  an  ambulance  at  the  rear  of  a  regiment  is  filled  it  may 
fall  out  and  join  its  company  at  the  rear  of  the  column,  and  the 
director  of  ambulance  companies  or  the  ambulance  company  com- 
mander may  send  forward  another  ambulance  to  take  its  place;  or 
the  ambulance  may  remam  with  the  regiment,  and  men  requiring 
transportation  may  be  given  diagnosis  tags  authorizing  their  trans- 
portation by  the  ambulance  company  in  the  rear.  In  the  latter  case 
the  men  fall  out  and  report  to  the  commander  of  the  ambulance 
company  for  transportation. 

640.  The  arms,  personal  equipment,  and  clothing  of  a  soldier  who 
falls  out  are  taken  with  him  in  the  ambulance.  The  horse,  saber,  and 
horse  equipment  of  a  soldier  admitted  to  the  ambulance  or  otherwise 
separated  from  his  organization  because  of  sickness  or  injury  are 
taken  back  to  the  troops  by  the  noncommissioned  officer  who  accom- 
panied him. 

641.  Upon  halting  for  the  night  all  but  the  trivial  cases  are  taken 
in  charge  by  a  field  hospital  designated  by  the  division  surgeon,  or  they 
are  sent  to  the  rear,  as  the  conditions  may  warrant.  It  may  be  neces- 
sary to  leave  them  under  shelter — in  houses,  if  practicable — with  the 
necessary  food  and  attendants  until  taken  in  charge  by  sanitary  troops 
from  the  line  of  communications. 

642.  In  combat  the  duties  devolving  on  the  sanitary  personnel  are 
to  render  first  aid  to  the  wounded;  to  establish  and  operate  an  aid 
station,  and  to  collect  the  wounded  thereat;  to  direct  those  with 
trivial  wounds  to  return  to  the  line,  and  to  direct  others  with  sUght 
wounds  to  the  station  for  slightly  wounded ;  and  in  exceptional  cases 
to  transport  the  severely  wounded  to  the  dressing  station. 

643.  The  detachment  invariably  accompanies  its  line  unit  in  com- 
bat, rendering  first  aid  to  as  many  as  possible  of  those  who  fall  out, 


206  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

without  losing  touch  with  tlie  command.     It  is  assisted  by  the  band 
if  the  latter  is  assigned  to  duty  with  the  sanitary  troops. 

644.  Unless  medical  assistance  is  available,  the  wounded  apply  their 
first-aid  packets,  if  practicable.  With  this  exception  the  care  of  the 
wounded  devolves  upon  the  sanitary  troops,  and  no  combatant, 
unless  duly  authorized,  is  permitted  to  take  or  accompany  the  sick 
or  wounded  to  the  rear. 

645.  With  dismomited  troops  the  aid  station,  not  more  than  one 
for  each  regiment  or  smaller  independent  unit,  will  bo  established  as 
the  engagement  develops  and  the  number  of  wounded  warrant  it, 
providing  it  is  probable  that  the  command  will  remain,  for  a  short 
period  at  least,  near  the  proposed  location  of  the  station.  With  a 
mounted  command  the  sanitary  detachment  accompanies  the  troops 
during  the  whole  course  of  the  engagement,  pausing  only  so  long  as  is 
necessary  to  render  fu'st  aid  and  to  collect  the  womided  at  some  place 
where  they  can  be  turned  over  to  an  inhabitant  of  the  country  to  be 
cared  for.  The  commander  of  the  advancing  foot  troops  or  of  the 
advance  section  should  be  promptly  notified  of  the  location  of  the 
womided  thus  collected. 

646.  In  locating  the  aid  station  it  is  of  the  highest  importance  that 
advantage  be  taken  of  any  shelter  from  fire  which  the  terram  affords. 
To  a  large  extent  the  distance  of  the  station  from  the  firing  line  must 
depend  upon  this  consideration.  It  wiU  be  borne  in  mind  that  any 
building  which  offers  a  good  target  for  artiUery  fire  is  worse  than  no 
shelter  at  all,  and  that  the  nearer  the  station  is  to  the  front  the  safer 
it  wiU  be  from  dropping  projectiles. 

647.  The  surgeon  remains,  as  a  rule,  at  the  aid  station,  with  a  non- 
commissioned officer  and  the  necessary  number  of  privates,  for  to 
this  station  the  commanding  officer  wiU  send  information  or  orders 
which  he  may  have  to  communicate  to  the  surgeon,  and  through  tliis 
station  the  surgeon  gains  contact  with  the  units  of  the  sanitary  train 
in  the  rear.  The  other  medical  officers  and  the  remainder  of  the 
detachment  keep  in  touch  with  the  &"mg  line,  tending  the  wounded  as 
far  as  possible  and  conveying  the  helpless  to  the  station,  if  practicable. 
If  the  enemy's  fire  is  such  that  the  wounded  can  not  reach  the  station 
advantage  is  taken  of  trenches,  ravines,  and  other  inequalities  of  the 
ground  affording  temporary  shelter,  and  the  womided  are  brought  in 
durmg  intervals  in  the  firing  or  after  nightfall. 

648.  No  one  belonging  to  the  sanitary  personnel  of  an  organization 
will  go  farther  to  the  rear  than  the  aid  station,  except  by  authority  of 
the  surgeon. 

649.  The  aid  station,  which  will  often  be  but  httle  more  than  a  place 
for  assembhng  the  woimded,  should  not  undertake  elaborate  or  fixed 
arrangements  for  their  care  and  treatment,  as  its  personnel  must  keep 
in  touch  with  the  regiment  and  be  prepared  to  close  or  move  the  sta- 


THE   ZONE   OF   THE   ADVANCE.  207 

tion  without  delay  when  the  regiment  moves.  The  treatment  given 
will  usually  be  limited  to  first  aid  and  to  the  readjustment  of  dressings. 
Occasionally  it  may  become  necessary  to  ligate  an  artery  or  to  per- 
form an  emergency  operation.  Fractures,  if  not  previously  immobi- 
lized, should  be  put  in  splmts.  Diagnosis  tags  will  be  attached  to  aU 
womided  and  the  duphcates  disposed  of  as  directed  m  paragraph  571. 
The  arms  and  equipment  of  womided  separated  from  their  companies 
and  taken  in  charge  by  the  Medical  Department  should,  so  far  as 
practicable,  accompany  them  mitil  they  reach  the  line  of  conmiuni- 
cations. 

650.  In  the  course  of  battle  the  advance  of  troops  may  result  in 
the  aid  station  being  separated  so  far  from  the  Ime  that  it  can  no 
longer  fulfill  its  pm'pose.  In  this  case  it  must  be  advanced  to  a  more 
favorable  location.  Ordinarily  the  wounded  left  behuid  will  be 
looked  after  by  the  advancing  ambulance  company,  but  if  it  is 
apparent  that  this  will  be  long  delayed  a  small  portion  of  the  regi- 
mental personnel  may  be  detailed  to  remain  with  them.  Similar 
action  will  be  taken  in  case  of  retreat.  The  closing  or  moving  of  the 
station  rests  on  the  decision  of  the  regimental  sm'geon.  In  reaching 
his  decision  he  should  be  governed  by  the  primary  necessity  of  always 
keeping  in  touch  with  the  regiment. 

THE   SANITARY  TRAIN. 

651 .  The  sanitary  train  is  composed  of  camp  infirmaries,  ambulance 
companies,  and  field  hospitals.  It  is  commanded  by  the  division 
surgeon. 

THE   DIRECTOR   OF  AMBULANCE    COMPANIES. 

652.  For  each  division  a  medical  officer  of  the  grade  of  major  is 
designated  as  director  of  ambulance  companies  and  there  is  assigned 
imder  him  one  sergeant  and  one  private  first  class  or  private,  Hos- 
pital Corps,  both  momited.  The  relation  of  the  director  of  am- 
bulance companies  to  the  division  surgeon  and  to  the  ambulance 
companies  is  similar  to  that  of  a  major  of  the  line  to  the  colonel  of 
his  regiment  and  to  the  companies  of  his  battalion.  He  maintains  no 
office  of  record  but  communications  from  the  division  surgeon  to  the 
ambulance  companies  and  vice  versa  are  sent  through  him  for  his 
information. 

653.  The  director  of  ambulance  companies  will  make  frequent 
inspections  to  ascertain  whether  all  the  companies  have  their  regu- 
lation allowance  of  personnel  and  equipment,  whether  the  personnel 
are  properly  instructed,  and  whether  the  equipment  is  in  good  con- 
dition, and  wiU  take  the  necessary  measures  to  correct  any  deficien- 
cies foimd  therein. 


208  MANUAL   FOR   THE   MEDICAL   DEPARTMENT 

664.  On  the  march  the  director  will  ordmarily  accompany  one  of 
the  ambulance  companies  on  duty  with  the  marching  troops  and  wiU 
superintend  the  ambulance  service  of  the  march.  He  will  keep  the 
division  surgeon  advised  as  to  where  communications  will  reach  him. 

656.  His  duties  during  and  immediately  after  combat  comprise 
supervision  of  the  removal  of  the  wounded  from  the  aid  stations  (and 
in  emergencies  from  the  front)  and  their  care  and  treatment  en  route, 
via  the  dressing  stations,  to  the  field  hospitals.  His  activities  cover, 
therefore,  the  entire  zone  between  the  firing  line  and  the  field  hos- 
pitals, with  the  terrain  of  which  he  should  make  himself  familiar,  and 
he  will  proceed  from  point  to  point  thereof  as  his  presence  may  be 
required.  As  far  as  practicable  he  will  keep  the  division  surgeon 
apprised  of  his  movements. 

(a)  He  wiU,  under  the  division  surgeon's  authority,  direct  the  open- 
ing of  dressing  stations  at  the  places  decided  upon.  Under  the  same 
authority  he  will  direct  such  changes  in  the  location  of  these  stations 
as  may  be  necessary  during  the  battle,  and  their  closing  and  the 
reassembling  of  the  several  units  for  movement  with  the  division  as 
soon  as  practicable  after  its  conclusion. 

666.  The  director  of  ambulance  companies  also  commands  the 
camp  infirmaries  of  the  division,  as  outlined  in  paragraph  659. 

CAMP   INFIRMARIES. 

657.  Each  regiment  of  a  division  has  assigned  to  it  in  time  of  peace 
one  camp  infirmary  equipment  (pars.  869  and  870),  including  one 
wagon  belonging  to  the  divisional  sanitary  train.  (See  Tables  of 
Organization:  Peace — Regimental  Organizations.) 

668.  When  the  division  is  assembknl  the  camp  infirmary  equip- 
ments authorized  for  the  service  of  the  mobilized  division  (usually 
on  the  basis  of  one  for  each  brigade)  are  retained  for  duty  as  camp 
infirmaries.  The  remaining  camp  infirmary  equipments,  except  trans- 
portation, are  turned  in  to  the  officer  in  charge  of  medical  supphes 
and  the  wagons  thus  released  are  assigned  to  those  units  of  the 
sanitary  train  for  which  no  transportation  is  provided  in  time  of 
peace. 

659.  The  camp  infirmaries  retained  for  the  service  of  the  division 
will  be  placed  by  the  division  surgeon  under  the  immediate  charge 
of  the  director  of  ambulance  companies.  This  officer  will  receipt  and 
account  for  the  property  and  will  be  held  responsible  for  its  condi- 
tion and  completeness  at  all  times.  He  will  have  general  charge  of 
the  assignment  of  the  infirmaries  to  the  troops  which  they  are 
intended  to  serve  and  he  wiU  keep  the  descriptive  lists  and  accounts 
of  the  permanent  pei"sonnel  on  duty  therewith. 


THE    ZONE    OF    THE    ADVANCE.  209 

660.  For  permanent  duty  with  each  infirmary  there  will  be  required 
one  sergeant,  Hospital  Corps,  in  immediate  charge  of  the  property, 
and  one  driver.  The  men  and  animals  of  the  camp  infirmary  will 
usually  be  attached,  for  rations  and  forage,  to  one  of  the  regiments 
served  by  the  infirmary  or  to  an  ambulance  company. 

661.  The  camp  infu-maries  with  each  division  will  be  numbered 
from  one  upward  consecutively,  and  the  wagon  belonging  to  each 
infirmary  will  be  marked  as  prescribed  in  Tables  of  Organization. 
(See  also  par.  545.) 

662.  The  primary  function  of  the  camp  infirmary  is  to  furnish 
dispensary  facilities  to  one  or  more  organizations  during  field  service 
when  other  provision  is  made  for  the  hospital  treatment  of  all  sick 
and  wounded  or  for  their  prompt  evacuation  to  the  rear.  When 
such  provision  is  not  made  and  the  camp  infirmary  becomes  the 
nucleus  aroimd  which  a  camp  hospital  (see  par.  604)  is  developed,  it 
becomes  an  immobile  unit,  and  if  the  organization  to  which  it  is 
attached  should  move  another  camp  infirmary  will  be  required  to 
accompany  it. 

663 .  The  senior  medical  officer  of  the  units  served  by  the  infu-mary 
assumes  charge  of  the  infirmary  service  and  is  authorized  to  call 
du'ectly  on  the  other  organizations  for  theu*  proportionate  share  of 
medical  officers  and  sanitary  personnel  for  such  service. 

664.  The  sergeant  on  permanent  duty  with  the  infumary,  after 
reporting  to  the  senior  medical  officer  of  the  units  served,  remains 
in  subordinate  charge  of  the  equipment  as  the  representative  of  the 
du'ector  of  ambulance  companies. 

665.  When  the  camp  mfii-mary  is  to  be  opened  for  service  the 
surgeon  in  charge  will,  with  the  approval  of  the  camp  commander, 
notify  the  sm'geon  of  each  other  unit  which  the  infirmary  is  to  serve 
of  the  time  at  which  it  will  be  available  for  his  use  to  hold  sick  call. 
He  will  maintain  such  service  at  the  infirmary  as  the  conditions  may 
warrant. 

666.  In  combat  the  equipment  of  the  camp  infirmary  may  be  uti- 
lized for  the  establishment  of  a  station  for  slightly  wounded.  (See 
par.  7106.) 

THE    AMBULANCE    COMPANY. 

667.  Tlie  ambulance  companies  will  be  numl)ered  from  1  upward 
in  a  single  consecutive  series  for  the  entire  military  establishment. 

668.  The  vehicles  of  the  ambulance  company  will  be  marked  as 
prescribed  in  Tables  of  Organization.     (See  also  par.  545.) 

669.  The  commanding  officer  of  the  ambulance  company  is  under 
the  immediate  orders  of  the  director  of  ambulance  companies,  when 
there  is  one;  otherwise,  he  is  under  the  immediate  orders  of  the 
division  surgeon. 

93440°— 17 14 


210  MANUAL   FOR    THE    MEDICAL   DEPAETMENT. 

670.  The  personnel  of  an  ambulance  company  at  war  strength,  as 
given  in  Tables  of  Organization,  are  ordinarily  distributed  as  follows: 

(a)  With  the  dressing  station,  including  the  litter  bearers:  4  offi- 
cers, 1  sergeant  first  class,  6  sergeants,  1  actuig  cook,  40  privates 
first  class  and  privates,  all  of  the  Medical  Department. 

(h)  With  the  wlieeled  transportation:  1  officer,  1  sergeant  first 
class,  1  sergeant,  1  acting  cook,  28  privates  first  class  and  privates 
(1  as  farrier,  1  as  saddler,  2  as  musicians,  12  as  ambulance  drivers, 
and  12  as  ambidance  orderlies),  all  of  tlie  Medical  Department;  also 
1  sergeant  Ot>lacksmith)  and  3  privates  (drivers)  of  the  Quarter- 
master Corps. 

671.  The  function  of  the  ambulance  company  is  to  collect  the 
sick  and  wounded,  to  afford  them  temporary  care  and  treatment 
and  to  transport  them  to  the  next  sanitary  imit  in  the  rear. 

672.  In  camp  the  ambulance  company  operates  an  ambulance 
service  between  the  camp  infirmaries  and  the  field  or  other  hospitals. 

673.  On  the  march  ambulances  are  distributed  among  the  march- 
ing troops,  usually  one  to  each  regiment,  for  the  purpose  of  supph^- 
ing  transportation  to  those  who  become  unable  to  march.  (See  pars. 
637  and  721.T 

674.  In  combat  the  company  operates  in  two  parts  (par.  670). 
The  first  establishes  and  operates  a  dressing  station  and  collects  the 
wounded  thereat,  the  second  operates  the  wheeled  transportation 
in  evacuating  the  wounded. 

675.  The  dressing  station  party,  includijig  the  litter  bearers,  with 
its  equipment  on  pack  mules,  moves  forward  in  rear  of  the  troops 
ready  to  estabhsli  the  dressing  station. 

676.  The  location  of  the  dressing  stations  and  the  number  to  be 
established  will  be  determined  by  the  division  surgeon  acting  under 
the  instnictions  of  the  division  commander.  The  director  of  ambu- 
lance companies  will  supervise  their  opening,  giving  the  necessary 
orders  therefor  to  the  commanders  of  the  ambulance  companies. 
He  wiU  report  their  opening  to  the  division  surgeon. 

677.  Exact  rules  can  not  be  fonnulated  as  to  the  time  when  the 
dressing  station  shall  be  opened.  Generally  spealdng,  when  the 
advance  has  ceased  and  the  wounded  are  so  numerous  that  the}'  can 
no  longer  be  cared  for  by  the  regimental  personnel,  the  time  has 
come  for  the  opening  of  the  station. 

678.  It  is  desirable  that  the  site  selected  for  a  dressing  station  have 
the  following  advantages:  (1)  Protection  from  rifle  fire,  (2)  protec- 
tion from  direct  artillery  fire,  (3)  accessibility  for  wheeled  transpor- 
tation, and  (4)  a  supply  of  water.  Effective  shelter  from  fire  is  the 
chief  desideratum.  A  site  inaccessible  to  ambulances  on  account  of 
exposure  to  fire  need  not  invariably  be  condemned,  for  the  greater 


THE    ZONE    OF    THE    ADVANCE.  211 

part  of  the  work  of  the  ambulances  is  done  after  the  close  of  the 
battle,  or  after  nightfall.  The  station  will  always  be  pushed  as  far 
to  the  front  as  possible  to  reduce  to  the  minimum  the  distance  over 
which  the  wounded  must  be  carried  on  litters. 

679.  In  some  cases  in  which  the  establishment  of  the  dressing 
station  has  been  delayed,  or  in  which  the  troops  are  about  to  move 
forward,  it  may  be  possible  to  locate  the  dressing  station  at  the  aid 
station,  thus  practically  ehminating  one  station.  Under  these 
circumstances  the  dressing  station  assumes  the  work  of  the  aid 
station  and  the  persoimel  of  the  two  stations  cooperate  until  the  aid 
station  moves  forward. 

(a)  The  requirement  that  the  sanitary  personnel  with  the  com- 
batant organizations  keep  in  touch  with  those  organizations  may 
make  it  necessary  for  them  to  leave  the  wounded  where  they  fall, 
pausing  only  to  administer  such  aid  as  may  be  absolutely  essential. 
Cases  thus  left  will  be  collected  and  cared  for  by  the  dressing  station 
party  as  it  advances.     (See  par.  650.) 

680.  As  soon  as  the  dressing  station  is  opened  its  bearei*s  under 
the  direction  of  a  medical  officer  proceed  to  the  front  as  far  as  the 
enemy's  fire  permits.  Ordinarily  they  will  be  divided  into  as  many 
sections  as  there  are  aid  stations,  each  under  a  noncommissioned 
officer,  and  one  section  will  proceed  toward  each  aid  station. 

(a)  They  direct  wounded  who  are  able  to  walk,  to  the  station  for 
slightly  wounded.  They  transport  other  wounded  from  the  aid 
station  to  the  dressing  station.  Wlien  practicable  they  also  assist 
the  regimental  medical  personnel  in  the  care  and  removal  of  wounded 
from  points  in  advance. 

(h)  Meanwhile  the  commanding  officer  of  the  company  with  the 
dressing  station  personnel  proceeds  to  put  the  dressing  station  in 
condition  to  receive  patients.  When  possible  for  wheeled  transpor- 
tation to  reach  the  dressing  station,  a  message  should  be  sent  to  the 
officer  in  charge  of  the  ambulance  train  directing  hhn  to  report  at 
the  station  with  the  ambulances. 

681.  Tlie  work  of  the  dressing  station  is  carried  on  under  the 
following  departments: 

Dispensary. 

Kitchen. 

Receiving  and  forwarding. 

Sfightly  wounded. 

Seriously  wounded. 

682.  All  womided  will  pass  through  the  receiving  and  forwarding 
department.  Those  whose  injuries  are  not  sufficient  to  incapacitate 
them  for  the  present  performance  of  their  mifitary  duties  will,  after 
receiving  the  necessary  treatment,  be  directed  to  return  to  their 


212  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

units,  and  the  fact  that  such  directions  have  been  given  them  will  be 
noted  upon  their  diagnosis  tags.  Other  shghtly  wounded,  able  to 
walk,  wall,  after  hke  treatment,  be  immediately  directed  to  the  rear 
in  command  of  their  highest  ranking  officer  or  soldier.  Generally 
they  will  be  sent  to  the  station  for  slightly  wounded. 

683.  At  the  dressing  station  only  such  operations  will  be  performed 
as  may  be  immediately  required  to  save  hfe  or  to  render  the  patients 
fit  for  further  transportation.  Permanent  occlusive  dressings  may 
be  apphed  if  time  permits.  The  rules  to  be  followed  generally  are 
that  no  operative  or  other  interference  should  be  attempted  under 
conditions  unfavorable  for  asepsis  or  antisepsis,  and  that  no  wounded 
for  whom  transportation  is  available  should  be  delayed  at  the  dress- 
ing station.  Conditions  in  these  respects  must  vary  widely  in  differ- 
ent battles;  when  there  are  good  facilities  for  the  surgical  treatment 
of  cases  and  at  the  same  time  lack  of  transportation  for  wounded,  it 
would  manifestly  be  proper  to  give  them  definitive  treatment. 

684.  A  memorandum  showing  the  number  of  patients  received  and 
their  disposition  will  be  kept  in  the  receiving  and  forwarding  depart- 
ment. Diagnosis  tags  should  be  apphed  to  all  wounded  not  previ- 
ously tagged  and  supplemental  entries  made  on  tags  as  required. 
For  further  records  of  sick  and  wounded  required  of  ambulance  com- 
panies, see  paragraph  575  et  seq. 

685.  The  ambulances  and  wagons  remain  farther  to  the  rear  than 
the  dressing  station  (usually  in  proximity  to  some  unit  or  station 
through  which  communication  with  division  headquarters  may  be 
maintained)  until  it  is  practicable  to  determine  a  fine  of  evacuation 
for  the  wounded.  As  soon  as  the  dressing  station  is  estabhshed  and 
the  location  of  the  field  hospital  is  determined,  a  safe  route  for  the 
ambulance  service  between  these  two  establishments  is  sought,  and, 
when  found,  the  ambulances  advance  to  begin  the  removal  of  wounded 
from  the  dressing  station.  The  wagons  of  the  ambulance  company, 
carrjang  a  reserve  of  dressings,  may  remain  at  a  field  hospital,  whence 
the  supplies  may  be  sent  forward  by  ambulances  returning  to  the 
dressing  station.     (See  par.  728.) 

686.  Ambulances  must  reach  the  station  as  early  as  possible  even 
at  the  risk  of  losses.  Ordinarily  ambulances  will  carry  wounded  only 
from  the  dressing  station  to  the  nearest  field  hospital,  immediately 
returning  to  the  former;  any  other  destination  for  wounded  must  be 
prescribed  by  the  division  surgeon. 

687.  When  the  ambulances  are  insufficient  the  division  surgeon 
should  request  the  division  commander  to  permit  the  Medical  De- 
partment to  make  use  of  part  or  aU  of  the  transportation  of  the 
division  on  its  return  from  the  front. 

688.  During  the  daytime  when  a  battle  is  still  in  progress  it  wiU 
rarely  be  possible  for  ambulances  or  other  wheeled  vehicles  to  ad- 


THE   ZONE   OF    THE   ADVANCE.  213 

vance  farther  to  the  front  than  the  dressing  station.  Opportunity 
to  have  them  do  so  will  sometimes  occur  at  night,  and  on  the  con- 
clusion of  an  engagement  they  should  always  be  used,  as  far  as  may  be, 
at  all  points  on  the  battle  field. 

689.  To  prevent  further  injury,  it  is  important  that  the  wounded 
should  bo  handled  or  othei*wise  disturbed  as  little  as  possible  in  the 
course  of  their  transportation  to  the  rear.  No  wounded  man  once 
placed  on  a  litter  should  be  removed  from  it  without  evident  neces- 
sity until  he  reaches  the  field  hospital,  whether  he  is  transported  by 
ambulance  or  otherwise. 

690.  While  authority  to  close  a  dressing  station  or  to  move  it  must 
ordinarily  be  obtained  from  the  division  surgeon,  nevertheless  under 
exceptiouiil  conditions,  when  communication  with  the  division  sur- 
geon is  interrupted,  the  director  of  ambulance  companies  may,  if  he 
deems  the  emergency  requires  it,  close  or  move  the  station  at  dis- 
cretion. In  this  case  the  division  surgeon  will  be  notified  as  soon  as 
possible  of  the  action  taken. 

(a)  Should  it  be  impossible  to  evacuate  the  wounded  at  a  dressing 
station  before  it  is  closed  or  moved,  by  reason  of  retreat  or  otherwise, 
the  commanding  officer  of  the  ambulance  company  will  leave  with  the 
wounded,  according  to  their  number  and  condition,  sufficient  medical 
personnel  and  supplies  to  provide  for  their  immediate  necessities,  and 
will  advance  or  withdraw  with  the  division  the  remainder  of  the  per- 
sonnel and  equipment. 

THE   DIRECTOR   OF   FIELD   HOSPITALS. 

691.  For  each  division  (except  cavalry  divisions)  there  is  desig- 
nated as  director  of  field  hospitals  one  medical  officer  of  the  grade  of 
major  and  there  is  assigned  under  him  one  sergeant  and  one  private 
first  class  or  private.  Hospital  Corps,  both  mounted. 

692.  The  director  of  field  hospitals  is,  like  the  director  of  ambu- 
lance companies,  immediately  under  the  division  surgeon  and  is  the 
latter's  executive  in  respect  to  the  field  hospitals  of  the  division. 
His  supervision  over  the  field  hospitals  is  similar  to  that  exercised 
by  the  director  of  ambulance  companies  over  those  companies. 

693.  He  will  ordinarily  accompany  the  field  hospital  in  advance 
on  the  march  and  remain  with  it  in  camp.  He  will  keep  the  division 
surgeon  informed  of  his  movements. 

694.  He  should  maintain  communication  with  the  director  of  am- 
bulance companies,  to  enable  that  officer  to  make  suitable  arrange- 
ments for  the  removal  of  patients  from  the  front,  and  with  the  sur- 
geon in  charge  of  the  sanitary  column  from  the  advance  section  to 
promote  the  rapid  evacuation  of  patients  to  the  rear. 


214  MANUAL   FOR   THE   MEDICAL   DEPARTMENT. 

THE    FIELD    HOSPITAL. 

(Capacity  216.) 

695.  The  field  hospitals  will  l^e  numbered  from  1  upward  in  a 
single  consecutive  series  for  the  entire  military  establishment. 

696.  The  wagons  of  the  field  hospital  will  be  marked  as  prescribed 
in  Tables  of  Organization.     (See  also  par.  545.) 

697.  The  commanding  officer  of  the  field  hospital  is  under  the 
immediate  orders  of  the  director  of  field  hospitals,  when  there  is  one; 
otherwise  he  is  under  the  immediate  orders  of  the  division  surgeon. 

698.  The  personnel  of  a  field  hospital  at  war  strength,  as  given  in 
Tables  of  Organization,  are  ordmarily  assigned  as  follows:  1  major 
(commanding);  5  captains  and  lieutenants  (1  adjutant  and  quarter- 
master, 4  ward  surgeons) ;  3  sergeants  first  class  (1  acting  first  sergeant 
m  general  supervision  of  the  hospital  and  in  charge  of  medical  prop- 
erty and  records,  1  in  charge  of  transportation  and  quartermaster 
property  and  records,  1  in  charge  of  mess  supphes  and  cookuig); 
6  sergeants  (1  in  charge  of  the  dispensary,  1  in  charge  of  operatmg 
equipment,  1  in  charge  of  patients'  clothing  and  effects,  3  m  charge 
of  wards);  3  acting  cooks;  55  privates  first  class  and  privates  (46 
attendants,  1  dispensary  assistant,  1  artificer,  4  orderUes,  3  super- 
numeraries); and  of  the  Quartermaster  Corps,  1  sergeant  (wagon 
master)  and  7  privates  (drivers). 

699.  The  f miction  of  the  field  hospitals  is  to  keep  in  touch  with  the 
combatant  organizations  and  to  provide  shelter  and  sucli  care  and 
treatment  as  are  practicable  for  the  sick  and  wounded  of  the  division 
who  are  brought  in  by  the  ambulance  companies  until  the  sanitary 
service  of  the  line  of  communications  takes  charge  of  them.  A  field 
hospital  can  meet  these  requirements  only  when  it  is  reUeved  so 
promptly  by  the  sanitary  units  in  the  rear  that  its  mobility  is  not 
mterfered  with.  Prompt  evacuation  of  the  sick  and  ^vounded  is 
necessary  also  to  secure  for  them  the  facilities  for  treatment  and  the 
comforts  which  are  available  on  the  Ime  of  communications. 

700.  On  the  march  and  m  temporary  camps,  however,  the  field 
hospitals  are  the  nightly  collecting  points  for  the  divisional  sick  and 
uijured  who  are  unable  to  continue  the  march,  and  must  provide  for 
the  care  of  such  patients  until  they  can  be  turned  over  to  the  medical 
service  of  the  line  of  communications  or  to  a  local  hospital  or  hospitals. 
(See  par.  641.)  The  use  of  the  field  hospitals  for  this  purpose  should 
be  carefully  regulated  by  the  division  surgeon. 

(a)  So  far  as  practicable  in  each  division  only  one  field  hospital  at 
a  time  will  be  used  in  this  service,  leaving  the  othere  entirely  free  of 
patients.  Furthermore,  only  so  much  of  the  oqui])ment  of  the  field 
hospital  assigned  to  this  work  should  be  mipacked  as  is  required  to 
care  properly  for  the  patients  actually  in  the  hospital  and  their 


THE   ZONE    OF    THE    ADVANCE.  215 

necessary  attendants  who  are  to  remain  behind  when  the  division 
moves  on.  The  nuinl)er  of  personnel  detailed  to  remain  will  bo  as 
small  as  possible. 

(h)  The  equipment  which  has  not  been  unpacked  and  the  pei-sonnel 
who  have  not  been  detailed  to  remam  with  the  patients  will  move 
with  the  division. 

(c)  Every  effort  will  be  made  by  the  division  sm-geon  to  dispose  of 
the  patients  left  behmd.  Should  unusual  delay  in  turnmg  them  over 
to  the  medical  service  of  the  luie  of  communications  supervene, 
temporary  provision  for  them  should  be  arranged  in  civil  hospitals 
of  the  locality  or  otherwise  as  may  be  most  practicable  until  the 
medical  units  of  the  line  of  commmiications  can  take  charge  of  them. 

(d)  As  soon  as  the  patients  are  disposed  of,  the  personnel  detailed 
for  the  temporary  care  of  such  patients  will  immediately  rejoin  the 
hospital. 

701.  For  service  in  combat,  the  locations  of  the  field  hospitals  and 
the  number  to  be  opened  will  be  determined  by  the  division  surgeon 
acting  under  the  instruction  of  the  division  commander.  The 
director  of  field  hospitals  will  supervise  their  opening,  givuig  the  nec- 
essary orders  therefor  to  the  commanders  of  the  field  hospitals.  He 
wiU  report  their  openmg  to  the  division  surgeon. 

(a)  It  is  desirable  that  they  be  centrally  located  and  beyond  the 
zone  of  conflict,  which  will  usually  necessitate  placing  them  3  or  4 
miles  in  rear  of  the  dressing  stations. 

(b)  Field  hospitals  should  be  easily  seen  and  reached  from  front 
and  rear  and  yet  not  be  in  the  way  of  troops  and  trains.  An  ample 
supply  of  good  water  is  necessary,  and  suitable  buildings  are  of  great 
advantage.  Such  buildings  should  be  utihzed  first,  and  only  so  much 
tentage  put  up  as  may  be  required. 

(c)  If  the  enemy  retires,  field  hospitals  will  be  estabhshed,  if  pos- 
sible, near  the  dresshig  stations  havuig  the  greatest  number  of 
woimded. 

(d)  A  field  hospital  may  be  moved  foi-ward  mider  the  direction 
of  the  division  surgeon  to  replace  a  dressmg  station  and  to  take  over 
the  patients. 

702.  The  time  when  field  hospitals  should  open  will  be  communi- 
cated by  the  division  surgeon  to  the  director  of  field  hospitals,  should 
there  be  one,  or,  there  bemg  none,  to  the  commanding  officers  of  the 
hospitals  concerned. 

(a)  Only  one  wiU,  as  a  rule,  be  opened  early  in  the  battle.  This 
will  be  done  as  soon  as  the  number  of  womided  justifies  it.  The 
other  field  hospitals  should  not  be  set  up  mitil  the  necessity  for  them 
is  apparent.  If  the  conditions  are  such  that  the  wounded  can  be 
evacuated  directly  to  the  line  of  communications,  the  opening  of  field 
hospitals  will  be  mmecessary. 


216  MANUAL    FOR   THE    MF.DTCAr.   DEPARTMENT. 

703.  On  the  receipt  of  an  order  to  open  a  field  hospital  the  fol- 
lowing departments  will  be  established: 

Dispensary. 

Kitchen. 

Receiving  and  forwarding. 

Slightly  wounded. 

Seriously  wounded. 

Operating  room. 

Mortuary. 

704.  All  wounded  arriving  at-the  field  hospital  will  be  received  at 
the  receiving  and  forwarding  department,  which  is  the  administrative 
office  of  the  hospital, 

(a)  The  slightly  wounded,  able  to  walk,  will  be  immediately 
directed  to  the  rear  or  to  the  station  for  slightly  wounded,  as  the 
circumstances  may  indicate. 

(6)  The  seriously  wounded,  and  the  slightly  wounded  unable  to 
walk,  will  be  assigned  to  the  proper  department  for  treatment. 

(c)  Records  of  the  wounded  will  be  made  as  prescribed  in  para- 
graph 575  et  seq. 

705.  Under  ordinary  battle  conditions  operations  at  the  field 
hospitals  should  be  such  only  as  are  needed  to  fit  the  patients  for 
transportation  to  the  rear.  Many  extensive  dressings  will,  however, 
be  required  under  all  circumstances.  All  operations  should  be  done 
under  the  strictest  antiseptic  or  aseptic  precautions,  and  every  effort 
made  to  dress  cases  so  that  they  will  not  require  redressing  for  some 
time.  Patients  should  be  fed,  if  practicable,  before  being  sent  to 
the  rear. 

706.  Every  opportunity  should  be  taken  to  transport  the  wounded 
to  the  rear.  Ordinarily  they  will  be  turned  over  to  the  transportation 
of  the  line  of  communications,  but  the  returning  transport  of  the 
division  may  be  utilized  for  this  purpose  in  the  same  manner  as  at 
the  dressing  stations  (par.  687). 

707.  When  the  number  of  wounded  is  very  great  and  the  trans- 
portation facilities  are  bad,  with  no  rear  hospitals  to  relieve  field 
hospitals,  the  latter  will,  despite  all  efforts,  become  crowded  with 
wounded  which  they  can  not  dispose  of.  In  this  case  the  division 
surgeon  may  be  compelled  to  concentrate  all  wounded  in  one  or  two 
field  hospitals  so  as  to  free  the  others  for  an  advance.  The  hospitals 
left  behind  should  be  cleared  as  soon  as  possible,  in  order  that  they 
may  rejoin  their  division. 

(a)  When  no  adequate  provision  is  made  for  the  evacuation 
of  the  sick  and  wounded  and  a  field  hospital  becomes  the  nucleus 
around  which  a  camp  hospital  (par.  604)  is  developed,  it  becomes 
an    immobile   unit,    and,    if    the   troops    to   which   it   is   attached 


THE   ZONE   OF    THE   AIH'ANCE.  217 

should  move,  another  field  hospital  will  ])e  required  to  accompany 
them. 

708.  Field  hospitals  ordered  to  close  or  to  move  will  dispose  of 
their  patients  as  directed  by  the  division  surgeon. 

(a)  If  by  reason  of  retreat  or  otherwise  a  field  hospital  is  required 
to  move  before  it  can  evacuate  its  patients,  its  commanding  officer 
will  take  action  smiilar  to  that  prescribed  for  dressing  stations  in 
the  Hke  contingency.     (See  par.  690a.) 

709.  The  opening,  moving,  and  closing  of  field  hospitals  will  be 
reported  by  their  commanding  olficers  through  the  director  of  field 
hospitals  to  the  division  surgeon,  who  will  report  the  same  when 
necessary  to  the  surgeon  of  the  advance  group  of  the  fine  of  com- 
munications. 

THE    STATION    FOR    SLIGHTLY    WOUNDED. 

710.  The  station  for  slightly  wounded  is  a  transient  divisional 
organization  on  the  battle  field;  it  has  no  permanent  personnel  or 
definitely  prescribed  equipment. 

(a)  The  personnel  required  for  the  station,  usually  one  medical 
ofiicer,  two  noncommissioned  officers,  and  eight  privates,  will  be 
detached  from  such  unit  of  the  sanitary  train  as  the  division  surgeon 
may  elect.  In  some  instances  it  may  be  practicable  to  utiUze  per- 
sonnel sent  forward  from  the  line  of  communications. 

(h)  For  the  equipment  of  the  station  one  of  the  camp  infirmaries  of 
the  division  may  be  utilized,  or"  a  medical  and  surgical  chest  and  such 
other  supphes  as  are  necessary  may  be  temporarily  detached  from 
one  of  the  field  hospitals. 

711.  The  functions  of  the  station  for  slightly  wounded  are  (1)  to 
afford  a  place  where  men  who  are  unable  to  accompany  their  units 
into  combat  may  be  assembled;  (2)  to  relieve  dressing  stations  and 
field  hospitals  of  the  congestion  incident  to  the  presence  of  the 
shghtly  wounded  who  can  walk  and  who  require  but  little  attention. 

712.  The  station,  usually  one  for  each  division,  is  established  when 
combat  is  imminent.  It  should  be  about  the  same  distance  from 
the  firing  line  as  the  field  hospitals.  A  building  should  be  selected 
for  its  use  when  practicable.  It  should  preferably  be  located  on  the 
route  over  which  the  troops  have  advanced,  as  this  route  is  the  one 
which  the  disabled  are  most  likely  to  follow  in  working  their  way  to 
the  rear.  In  any  case  it  should  be  so  conspicuously  marked  that 
it  can  be  found  readily. 

713.  Extensive  preparations  at  this  station  are  unnecessary.  A 
tent  should  be  erected,  if  no  building  is  available,  where  dressings 
may  be  applied  or  readjusted  and  arrangements  made  for  the  prepara- 
tion of  simple  nourislunent.  Diagnosis  tags  should  be  attached  to 
all  wounded  not  already  tagged.     The  duplicates  of  the  tags  wiU  be 


218  MANUAL   FOR   THE   MEDICAL  DEPARTMENT. 

disposed  of  as  directed  in  paragraph  571 .     A  list  of  sick  and  wounded 
will  be  prepared  as  prescribed  in  paragraph  580.  .m^^dl 

714.  As  soon  as  possible  wounded  at  the  station  who  are  not  able 
to  return  to  their  commands  will  be  collected  into  groups  and  directed 
to  the  rear  in  charge  of  one  of  their  number. 

(a)  Minor  cases  requiring  no  further  treatment  or  only  sHght  treat- 
ment mil,  however,  be  directed  to  return  to  their  organizations,  and 
the  fact  that  such  directions  have  been  given  them  will  be  noted  on 
their  diagnosis  tags.  Men  who  arrive  at  the  station  without  author- 
ity and  are  able  to  do  duty  wiR  be  tmiied  over  to  the  provost  guard 
for  return  to  their  organizations. 

(h)  Should  any  of  the  sick  or  woimded  be  found  too  much  exhausted 
or  too  badly  hm't  to  go  farther  afoot,  the  commandmg  officer  of  the 
station  will  report  them  to  the  nearest  field  hospital. 

715.  Upon  the  conclusion  of  the  engagement  the  personnel  and 
equipment  of  the  station  will  be  disposed  of  as  directed  by  the 
division  surgeon. 

THE  ADMINISTRATION  OF  THE  SANITARY  SERVICE  OF 

THE  DIVISION. 

716.  In  administrative  matters  the  division  surgeon  bears  a  rela- 
tion to  the  units  of  the  sanitary  train  similar  to  that  of  a  regimental 
commander  to  the  battahons  and  companies  of  liis  regiment. 

717.  In  order  that  the  sanitary  service  may  attam  its  highest  effi- 
ciency, flexibihty  in  the  distribution  o'f  sanitary  persomiel  and  equip- 
ment is  essential.  The  elements  comprismg  the  sanitary  train  are, 
therefore,  not  ordinarily  assigned  to  units  smaller  than  a  division, 
unless  the  unit  is  operating  independently.  They  are,  however,  fre- 
quently attached  to  smaller  units  as,  for  example,  when  a  division 
marches  by  two  roads,  a  part  of  the  sanitary  train  may  accompany  each 
detachment  of  the  division.  Under  these  circumstances  the  miits  of 
the  sanitary  tram  are  subject  to  the  general  control  of  the  senior  Ime 
officer  present  with  the  immediate  conmaand  which  they  accompany. 

718.  When,  by  divisional  orders,  units  of  the  sanitary  tram  are 
temporarily  separated  from  direct  headquarters  control  and  placed 
with  hne  organizations  or  trams,  the  senior  medical  officer  present 
with  the  units  will  report  them  to  the  line  officer  in  command  without 
further  orders  and  will  receive  his  instructions  in  such  matters  as  the 
conduct  of  the  march  and  the  location  and  security  of  the  miits  in 
camp.  Units  so  separated  from  headquarters  are  not  regarded  as 
detached  unless  they  are  specifically  ordered  to  report  to  the  com- 
mander of  the  hne  troops  for  duty. 

719.  The  method  of  control  of  the  sanitary  traui  varies  according 
ro  circumstances.  For  example,  at  a  camp  where  arrangements 
have  been  made  in  advance  for  an  adequate  supply  of  water  and 


THE   ZONE   OF    THE   ADVANCE,  219 

forage,  an  entire  division  may  he  assembled,  in  which  case  all  the 
elements  of  the  sanitary  train  will  be  directly  controlled  by  the  divi- 
sion surgeon  (par.  651).  On  the  other  hand,  to  facilitate  loading  on 
ships,  for  example,  the  troops  of  a  division  may  be  concentrated  at 
one  port  and  the  trains  at  another  port,  in  which  case  the  entire 
sanitary  train  is  mider  control  of  the  commander  of  the  divisional 
train  and  under  the  immediate  command  of  the  senior  medical  officer 
with  the  sanitary  train. 

720.  When  the  division  is  on  the  march  the  sanitary  train  is  ordi- 
narily divided.  The  division  surgeon  will  advise  the  division  com- 
mander as  to  which  units  of  the  sanitary  train  he  considers  necessary 
for  service  with  the  marching  troops  and  which  miits  may  be  placed 
under  the  commander  of  the  divisional  tram.  When  the  latter  units 
are  released  from  the  divisional  train  they  remain  imder  the  imme- 
diate command  of  their  senior  medical  officer  mitil  the  division 
surgeon  assumes  control. 

721.  On  a  march  not  in  the  immediate  presence  of  the  enemy,  con- 
ditions may  warrant  placing  an  entire  ambulance  company  with  the 
advance  guard  and  the  distribution  of  the  ambulances  of  one  or  more 
companies  through  the  main  body,  an  ambulance  following  each 
regiment  or  independent  battahon.     (See  pars.  637  and  673.) 

722.  A  field  hospital  will  ordinarily  be  needed  to  care  for  the  dis- 
abled brought  in  by  the  ambulances  at  the  end  of  the  march,  and 
should  be  placed  m  the  marching  column  with  due  regard  for  this 
requirement.  A  field  hospital  used  for  this  purpose  will  be  promptly 
evacuated  in  order  that  it  may  proceed  with  the  troops  when  they 
advance. 

723.  In  order  that  the  men  needing  medical  attention  may  be  cared 
for  as  soon  as  practicable  after  camp  is  established,  the  camp  infir- 
maries may  be  distributed  through  the  marchuig  colunm,  one  in 
proximity  to  each  group  of  organizations  which  will  camp  together. 
When  for  any  reason  this  is  not  practicable  they  will  march  with  the 
field  trams  of  the  units  which  they  are  to  serve. 

724.  When  combat  is  imminent,  elements  of  the  sanitary  train 
scattered  through  a  marching  column  may  be  ordered  to  fall  out,  al- 
lowmg  the  troops  to  pass  forward.  It  is  essential  at  this  juncture  that 
no  sanitary  miit  hamper  the  movement  of  combatant  organizations. 

725.  In  combat,  the  operation  of  the  divisional  sanitary  units  wiU 
be  governed  in  general  by  the  character  of  the  engagement,  whether 
defensive,  offensive,  or  retrograde,  and  in  each  particular  case  by  the 
immediate  conditions  incident  to  the  locahty. 

726.  Wlien  the  mission  of  the  command  is  defensive,  and  particu- 
larly if  a  fine  of  fortifications  or  some  natural  barrier,  such  as  a  river, 
can  be  taken  advantage  of,  it  may  be  practicable  to  make,  in  advance, 

■  a  definite  outHne  of  the  sanitary  service.     Under  these  circumstances 


220  MANUAL    FOR    TITE    MEDICAL   DEPARTMENT. 

the  zone  within  which  casualties  will  probably  occur  can  be  deter- 
mined with  sufficient  accuracy  to  enable  the  division  surgeon  to  make 
definite  recommendations  concernmg  the  announcement  in  the  battle 
order  of  the  location  of  the  station  for  slightly  wounded,  the  dressing 
stations,  and  the  field  hospitals.  As  soon  as  the  distribution  of  the 
troops  on  the  fine  of  defense  is  indicated  the  aid  stations  may  be 
located  and  routes  from  them  to  the  dressing  station  may  be  selected. 
The  sanitary  service  of  the  fine  of  communications  may  send  forward 
evacuation  ambulance  companies  and  evacuation  hospitals  riito  the 
zone  of  the  advance  in  readiness  to  evacuate  the  wounded  immedi?.tely . 

727.  Wlien  the  command  takes  the  offensive  the  difficulties  of  the 
sanitary  service  are  greatly  increased.  The  station  for  sUghtly 
wounded  is  estabUshed  at  once  for  assembling  the  sick  who  are  not 
able  to  accompany  their  organizations  into  battle.  As  the  situa- 
tion develops  the  organizations,  followed  by  their  sanitary  detach- 
ments, move  forward.  Wounded  are  given  first  aid,  but  no  aid  sta- 
tion is  established  until  the  organization  has  ceased,  temporarily  at 
least,  to  advance,  and  until  the  number  of  wounded  in  that  vicinity 
justifies  it.  (See  par.  645.)  The  time  and  place  for  the  opening  of 
the  station  is  determined  by  the  organization  commander,  unless  he 
has  authorized  the  surgeon  to  use  his  discretion  in  the  matter. 
Dressing  stations  are  estabhshed  when  required  by  the  number  of 
wounded  on  any  sector  of  the  line.  The  division  surgeon,  with  the 
approval  of  the  division  commander,  gives  directions  for  the  opening 
of  the  station  to  the  director  of  ambulance  companies.  Tlie  dressing 
station,  as  soon  as  it  arrives  at  its  location,  sends  forward  bearers  to 
estabhsh  communication  with  the  aid  stations  of  organizations  serv- 
ing on  its  sector  of  the  line.     (See  par.  680.) 

728.  The  wagons  of  the  ambulance  companies  may  be  left  at  field 
hospitals,  in  order  that  the  supphes  wliich  they  carry  may  be  for- 
warded to  the  dressing  stations  by  means  of  the  ambulances  as  they 
go  back  and  forth.     (See  par.  685.) 

729.  All  the  field  hospitals  may  be  held  in  readiness  to  establish 
until  definite  information  can  be  secured  as  to  the  progress  of  the 
engagement  and  the  number  of  casualties,  or  when  conditions  war- 
rant it  one  field  hospital  may  be  established  as  soon  as  the  dressing 
stations  are  located  (par.  702a).  Ordinarily  the  work  of  field  hos- 
pitals will  n(it  commence  until  several  hours  after  the  engagement 
has  begun. 

730.  In  a  retrograde  movement,  whenever  practicable,  transpor- 
tation and  supplies  precede  the  troops.  The  sanitary  service  vnH 
require  some  ambulances  held  as  near  as  possible  to  the  roar  guard, 
which  should  be  accompanied  by  a  liberal  allowance  of  sanitary  per- 
somiel.     So  far  as  practicable  the  wounded  in  rear-guard  actions 


THE   ZONE   OF    THE   ADVANCE.  221 

should  be  placed  on  litters  and  promptly  carried  forward  to  the 
ambulances. 

731.  The  defensive,  offensive,  and  retrograde  movements  prac- 
tically cover  the  entire  field  of  the  activities  of  the  sanitary  service 
in  combat.  The  rencontre  engagement  necessarily  develops  into 
one  of  these  three  by  the  time  a  definite  course  of  procedure  for  the 
sanitary  service  must  be  determined. 

732.  ^¥hatever  the  form  of  the  engagement  the  division  surgeon 
arranges,  as  soon  as  practicable,  for  the  publication  in  orders  of  the 
information  necessary  for  the  operation  of  the  sanitary  service. 
In  order  that  divisional  orders  may  not  be  burdened  with  details,  he 
recommends  for  inclusion  in  these  orders  only  such  information  as  is 
required  by  combatant  organizations  and  their  attached  sanitary  per- 
sonnel, and  he  issues  orders  direct  to  the  units  of  the  sanitary  train 
embodying  the  details  of  the  service  which  concern  these  units  only. 

733.  Combatant  troops  desire  to  know  (1)  the  location  of  the  aid 
station  for  their  organization,  and  (2)  the  location  of  the  station  for 
slightly  woimded.  The  location  of  the  aid  station  is  pubhshed  by 
the  organization  commander  as  soon  as  it  has  been  determined,  while 
the  location  of  the  station  for  sUghtly  wounded  should  be  published 
in  the  battle  order. 

734.  It  is  important  that  the  surgeons  of  combatant  organizations 
should  know  as  early  as  practicable  the  location  of  the  dressing  sta- 
tion serving  their  sector  of  the  Une,  in  order  that  they  may  so  locate 
the  aid  stations  as  to  reduce  to  the  minimum  the  distance  that 
patients  will  have  to  be  carried  by  litter  bearers.  The  surgeons  of 
combatant  organizations  also  require  information  as  to  the  location 
of  the  station  for  slightly  wounded. 

736.  The  divisional  battle  order  usually  furnishes  information  in 
paragraph  4  as  to  the  location  of  the  station  for  slightly  wounded, 
and  in  defensive  operations  it  may  announce  the  locations  of  dressing 
stations  and  possibly  of  field  hospitals,  though  the  latter,  as  a  rule, 
does  not  directly  concern  the  combatant  troops.  Wlien  it  is  impos- 
sible to  determine  in  advance  of  an  engagement  the  locations  of  the 
dressing  stations,  that  information  is  furnished  the  combatant 
organizations  through  military  channels  as  soon  as  practicable.  In 
any  case  the  surgeons  of  combatant  organizations  finally  learn  the 
locations  of  the  dressing  stations  through  the  litter  bearers  who  are 
sent  forward  to  the  aid  stations. 

736.  In  defensive  engagements,  as  indicated  above,  the  division 
surgeon  may  recommend  that  paragraph  4  of  the  battle  order  state 
that  a  station  for  slightly  wounded  is  established  at  a  designated 
point;  that  dressing  stations  wiU  be  located  at  designated  points  to 
serve  certain  sectors  of  the  Ime,  for  example,  one  to  serve  the  sector 
extendmg  from  the  left  flank  to  a  certain  road,  house,  creek,  or  other 


222  MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 

landmark  indicated  on  the  maps,  with  which  the  troops  are  sup- 
plied, another  to  serve  the  sector  extending  from  the  point  above 
mentioned  to  the  right  flank;  and,  in  case  conditions  warrant  such 
an  amiouncement  in  advance,  that  one  or  more  field  hospitals  will 
bo  established  at  designated  places. 

737.  In  offensive  movements  it  may  be  impracticable  to  include  in 
the  divisional  order  anything  more  than  the  statement  of  the  loca- 
tion of  the  station  for  slightly  wounded,  and  if  deemed  expedient 
some  information  concerning  the  places  at  wliich  ambulance  com- 
panies and  field  hospitals  will  hold  themselves  in  readiness.  (See 
par.  685.) 

738.  If  the  locations  of  the  dressing  stations  and  field  hospitals  have 
not  been  announced  in  the  battle  order,  the  division  surgeon,  with 
the  approval  of  the  division  commander  and  ordinarily  after  consul- 
tation with  the  directors  of  field  hospitals  and  ambulance  companies, 
will  issue  orders  concerning  the  locations  of  these  units  and  will  usually 
designate  by  munber  the  field  hospital  and  ambulance  company  units 
which  are  to  open  at  the  locations  specified.  He  also  transmits 
such  information  necessary  for  the  operation  of  the  sanitary  units  as 
he  may  have  received  from  the  division  commander,  e.  g.,  the  routes 
vehicles  may  take  between  front  and  rear. 

739.  In  a  retrograde  movement  a  formal  order  may  not  be  issued. 
In  tliis  case  the  sanitary  units  not  rendering  service  with  troops  will 
bo  governed  by  the  general  instructions  given  the  commander  of 
trains ;  those  serving  the  troops  will  bo  governed  by  the  ordere  of  the 
officer  in  immediate  command  on  whom  devolves  the  responsibility 
for  meeting  emergencies  as  they  arise. 

740.  In  service  with  mounted  commands  pertaining  to  an  infantry 
division  it  is  ordinarily  impracticable  to  establish  aid  stations  in 
combat.  The  sanitary  personnel  continue  with  the  organization. 
When  any  of  them  pause  to  render  first  aid,  they  rejoin  the  command 
as  soon  as  possible.     (See  par.  645.) 

741.  When  a  cavalry  division  is  operating  as  a  screen,  the  sanitary 
service  is  confronted  by  many  difficulties.  The  cavalry  may  be  one 
or  more  days'  march  in  advance  of  the  infantry  divisions  and,  in  a 
hostile  country,  may  make  no  effort  to  continue  in  control  of  the 
toiTitory  over  which  it  has  passed.  The  mission  of  the  sanitary  serv- 
ice under  these  conditions  will  be  to  render  first  aid  and  to  transport 
the  wounded  as  rapidly  as  possible  to  the  nearest  place  accessible  to 
the  sanitary  service  of  the  infantry  or  of  the  line  of  communications. 
For  this  reason  a  cavalry  division  is  provided  with  a  greater  number 
of  ambulances  in  proportion  to  the  divisional  strength  than  an  infantry 
division.  In  case  it  is  deemed  impracticable  to  take  hospital  equip- 
ment into  the  area  in  advance  of  tlic  iiifantry  divisions  a  field  hospital 
pertaining  to  the  cavalry  division  may  be  estabUshed  within  the  line 


:  /    n.'THE   ZONE   OF   TITE   ADVANCE.  223 

controlled  by  the  foot  troops,  and  under  these  circumstances  the  addi- 
tional ambulance  facilities  proviiled  will  be  required  to  transport  the 
wounded  to  the  field  hospital.  On  the  other  hand,  if  conditioiLs  war- 
rant advancing  the  field  hospital  into  the  area  between  the  infantry 
and  cavalry,  abundant  ambulance  faciUties  will  be  required  to  trans- 
port wounded  to  the  field  hospital  from  the  broad  front  which  the 
cavalry  when  acting  as  a  screen  may  occupy.  Under  these  circum-^ 
stances  the  use  of  a  portion  of  the  ambulances  for  transportation  of 
the  unmounted  Hospital  Corps  attached  to  the  field  hospital  may  be 
unavoidable  to  enable  the  field  hospital  to  keep  in  touch  with  the 
mounted  troops.  When  opposing  armies  approach  each  other  cavalry 
is  finally  mthdrawn  from  the  intervening  space  and  may  take  position 
on  the  flanks  of  the  infantry,  in  which  case  the  sanitary  service  is 
operated  as  in  an  infantry  division  and  may  be  directed  by  the  com- 
mander of  the  field  forces  to  cooperate  with  the  sanitary  units  of  the 
infantry  or  of  the  line  of  communications. 

742.  The  service  of  sanitary  detachments  with  organizations  of  the 
cavalry  division  is  similar  to  that  of  the  sanitary  troops  with  the  cav- 
alry of  an  infantry  division.  When  difficulties  *f  communication 
render  it  impracticable  for  the  division  surgeon  to  direct  personally 
the  sanitary  service  with  the  cavalry  division,  much  will  necessarily 
be  left  to  the  initiative  and  judgment  of  the  director  of  ambulance 
companies  and  the  senior  medical  officer  mth  each  individual  unit. 

DUTIES    OF   THE    DIVISION    SURGEON. 

743 .  The  division  surgeon  is  both  an  advisory  and  an  administrative 
officer.  (See  par.  361.)  In  his  advisory  capacity  he  makes  recom- 
mendations concerning  all  matters  pertaining  to  the  sanitary  welfare 
of  the  command  and  concerning  matters  pertaining  to  the  personnel 
and  equipment  of  the  sanitary  service  under  organization  commanders. 
In  his  administrative  capacity  he  is  in  immediate  command  of  the 
medical  department  personnel  attached  to  division  headquarters,  of 
the  sanitary  train,  and  of  American  National  Red  Cross  units,  and 
other  voluntary  aid  personnel  should  they  be  authorized  in  excep- 
tional cases  to  perform  service  with  the  division. 

744.  The  duties  of  the  division  surgeon  that  may  be  specifically 
stated  are  as  follows: 

(a)  He.wiU  take  action  on  all  official  papers  passing  through  his 
office  in  a  manner  similar  to  that  prescribed  for  department  surgeons 
(pars.  365  and  368).  The  channels  through  which  papers  pertaining 
to  the  medical  department  go  forward  ^^^11  be  determined  by  the 
chief  surgeon  of  the  field  army  according  to  circumstances.  (See 
par.  828.) 

(b)  He  will  render  to  the  cliief  surgeon,  field  army,  the  consolidated 
daily  field  report  of  sanitary  personnel  and  transportation  and  the 


224  MANUAL  FOR   THE   MEDICAL  DEPAETMENT. 

consolidated  daily  field  report  of  patients  (Form  84)  and  the  weekly 
noneffective  curve  chart  (Form  85). 

(c)  He  wiU  see  that  proper  inspections  are  made  of  sanitary  condi- 
tions in  the  division  and  of  the  medical  units  of  the  division.  These 
inspections  wdll  ordinarily  be  made  by  the  sanitary  inspector. 

(d)  He  will  arrange  a  systematic  and  orderly  service  for  the  care 
and  disposal  of  the  sick  and  wounded  of  the  division  in  camps,  on  the 
march,  and  in  battle,  having  in  view  the  retention  of  effectives  at  the 
front  and  the  prompt  removal  of  noneffectives  to  the  rear. 

(e)  He  will  keep  the  surgeon,  advance  group,  advised  as  to  the 
probable  requirements  of  the  sanitary  service  of  the  division  and  as 
to  the  nmnber  of  patients  for  whom  provision  will  be  required  on 
the  lino  of  communications. 

(/)  He  will  keep  the  chief  surgeon  of  the  field  army  advised  as  to 
the  efficiency  and  requirements  of  the  divisional  sanitary  service. 

(g)  On  the  march  the  division  surgeon  ordinarily  accompanies  the 
division  commander,  giving  such  advice  and  information  regarding 
the  sanitary  service  as  may  be  called  for,  and  securing  all  information 
necessary  concerning  the  disposition  of  troops  to  enable  him  to 
formulate  plans  for  the  sanitary  service  which  these  dispositions  will 
require. 

(h)  When  battle  is  imminent  he  will  utilize  all  facilities  available 
to  familiarize  himself  with  the  terrain  which  will  probably  be  covered 
and  will  obtain  and  distribute  to  the  officers  of  the  sanitary  train  such 
information  of  a  general  nature  as  will  assist  them  to  determine  their 
course  of  action. 

(i)  After  an  engagement  he  will  immediately  report  losses  in  med- 
ical personnel  to  the  division  commander  and  will  take  proper  meas- 
ures to  replace  the  supplies  and  equipment  of  the  sanitary  troops  of 
the  division.  He  will  free  field  hospitals  of  patients  as  promptly  as 
possible  in  order  that  they  may  be  ready  for  another  engagement  or 
a  forward  movement. 

745.  The  senior  medical  officer  of  a  brigade  or  detachment  acting 
independently  will  perform  for  the  command  such  of  the  duties  of  a 
division  surgeon  as  the  circumstances  may  render  necessary. 

THE    DIVISION    SANITARY    INSPECTOR. 

746.  As  an  assistant  to  the  division  surgeon  a  medical  officer  of 
the  rank  of  lieutenant  colonel  is  assigned  to  each  division  for  duty  as 
sanitary  inspector.  He  is  primarily  an  advisory  officer  (par.  362)  but 
may  in  addition  he  assigned  certain  executive  duties. 

747.  A  sanitary  inspector  is  charged  especially  with  the  supervision 
of  the  sanitation  of  the  command  to  which  he  is  assigned.  In  this 
connection  he  inspects  and  reports  upon  the  sanitary  conditions 
within  the  command,  upon  the  occurrence  of  preventable  diseases  and 


THE   ZONE   OF    THE   ADVANCE.  225 

the  sufficiency  of  the  measures  taken  for  their  prevention,  and  in 
general  upon  all  matters  affecting  the  sanitary  care  of  troops. 

(a)  At  the  end  of  every  month  each  sanitary  inspector  wiU  for- 
ward to  the  Surgeon  General,  through  military  channels,  a  report  of 
the  inspections  made  hy  him  during  the  month  under  the  provisions 
of  this  paragraph,  indicating  the  sanitary  defects,  if  any,  observed 
and  the  measures  taken  for  their  prevention.  This  report  will  be 
made  on  Form  50,  modified  if  necessary  to  suit  the  case. 

748.  Sanitary  inspectors  also  inspect  and  report  upon  the  adminis- 
tration of  the  units  of  the  sanitary  train;  the  efficiency,  instruction, 
and  adequacy  of  the  medical  persoimel;  the  condition  of  hospitals; 

■  the  character  and  sufficiency  of  medical  supplies;  the  facilities  for 
transporting  medical  supplies  and  the  sick  and  wounded;  and  in 
general  all  matters  affecting  the  care,  well-being,  and  comfort  of  the 
sick  and  wounded. 

(a)  A  report  of  each  formal  inspection  made  under  the  provisions 
of  this  paragraph  will  be  made  on  Form  506,  and  will  l)e  forwarded 
within  five  days  after  the  inspection  is  made  through  military  chan- 
nels to  the  Surgeon  General.  A  duplicate  will  be  filed  in  the  office  of 
the  division  surgeon.  Should  this  report  indicate  any  irregularities 
or  defects  of  medical  administration,  the  sanitary  inspector  will  fur- 
nish a  triphcate  through  military  channels  to  the  medical  officer 
commanding  the  Medical  Department  organization  concerned,  who 
will,  without  delay,  report  by  indorsement  thereon  what  remedies 
he  has  applied  or  will  apply  to  correct  each  of  the  irregularities  or 
defects  noted.  Such  reports  so  indorsed  will  also  be  forwarded 
through  military  channels  to  the  Surgeon  General. 

749.  Organization  commanders  are  usually  required  by  divisional 
orders  to  remedy  sanitary  defects  reported  to  them  by  the  sanitary 
inspector.  To  facilitate  the  attainment  of  satisfactory  sanitary  con- 
ditions the  sanitary  inspector  may  be  authorized  by  the  division 
commander  to  direct,  in  the  name  of  the  latter  and  within  such  limita- 
tions as  he  may  prescribe,  the  prompt  correction  of  conditions  jjreju- 
dicial  to  the  health  of  the  troops. 

760.  For  the  purpose  of  supervismg  or  executing  sanitary  meas- 
ures in  divisional  camps  of  more  or  less  duration  sanitary  squads 
may  be  organized  and  placed  under  the  control  of  the  sanitary 
inspector.     (See  pai-s.  774  to  777.) 

{a)  Manure  and  refuse  dumps  used  by  the  division  in  common, 
the  water  supply,  measures  for  the  prevention  of  mosquitoes  and  flies, 
the  policing  of  areas  outside  the  jurisdiction  of  organization  comr 
manders,  etc.,  may  be  placed  in  charge  of  such  squads. 

(h)  In  the  employment  of  sanitary  squads  in  divisional  camps  the 
provisions  of  paragraph  777  will  be  strictly  complied  with. 
93440°— 17 15 


ARTICLE  XIV.— THE  LINE  OF  COMMUNICATIONS. 


GENERAL. 


751.  The  line  of  communications  is  the  connecting  link  between  the 
service  of  the  interior  and  the  zone  of  the  advance.  It  is  established 
when  an  important  force  is  about  to  engage  in  field  operations  involv- 
ing a  movement  from  a  base  imless  the  territory  through  which  the 
supply  services  extend  can  be  safely  occupied  without  military  oper- 
ations of  an  extensive  character.  In  the  latter  case  administration 
and  supply  are  accompUshed  as  in  the  service  of  the  interior. 

752.  The  point  at  which  the  base  of  a  line  of  communications  is  to 
be  established  is  fixed  in  War  Department  orders.  The  zone  of  the 
line  of  communications  embraces  all  territory  from  and  including 
the  base  to  the  point  or  points  where  contact  is  made  with  the  trains 
of  the  combatant  forces.  Certain  of  its  activities,  including  those 
of  the  sanitary  service  in  evacuating  the  wounded,  extend  forward 
into  the  zone  of  the  advance  when  necessar}^ 

763.  The  line  of  communications  is  ordinarily  divided  into  a  base 
section  and  an  advance  section.  In  certain  cases,  due  to  prolonga- 
tion of  the  line  of  communications,  an  intermediate  section  may  be 
required.  An  advance  section  is  required  at  the  head  of  each  impor- 
tant route  of  supply  diverging  from  the  base. 

754.  The  mission  of  the  sanitary  service  of  the  line  of  communica- 
tions is  (1)  to  provide  such  adequate  facilities  for  the  treatment  of 
the  sick  and  wounded  that  those  not  permanently  disabled  may  be 
returned  to  the  front  with  the  least  practicable  delay;  (2)  to  furnish 
such  an  efficient  evacuation  service  as  will  promptly  relieve  the 
fighting  forces  of  the  encumbrance  of  their  sick  and  wounded  and 
allow  the  sanitary  units  in  the  zone  of  the  advance  to  maintain 
contact  with  their  combatant  organizations;  (3)  to  organize  and 
■maintain  a  system  of  supply  that  will  enable  the  sanitary  troops  in 
the  theater  of  operations  to  replenish  their  equipment  and  supplies 
by  direct  methods  and  without  delay;  (4)  to  maintain  satisfactory- 
sanitary  conditions  among  the  troops  on  the  line  of  communications 
and,  if  necessary,  to  take  entire  charge  of  sanitation  among  the 
inhabitants  of  the  occupied  territory. 

755.  When  the  military  conditions  in  occupied  territory  are  such 
as  to  impair  the  usual  agencies  of  medical  relief  among  the  inhabi- 
tants thereof,  the  Medical  Department  may  take  such  measures,  not 

226 


THE   LINE   OF    COMMUNICATIONS.  227 

incompatible  with  the  necessities  of  the  occupying  forces,  as  may  be 
necessary  to  relieve  the  distress  and  suffering  of  the  sick. 

756.  The  Medical  Department  units  pertaining  to  the  line  of  com- 
munications are  the  following : 

Base  group. — A  medical  supply  depot,  one  or  more  base  hospitals, 
and,  when  required,  convalescent  camps,  contagious  disease  hospi- 
tals, hospital  trains  and  trains  for  patients,  hospital  ships  and  ships 
for  patients,  casual  camps,  sanitary  squads,  field  laboratories,  and 
organizations  of  the  American  National  Red  Cross. 

Intermediate  group. — Rest  stations,  organizations  of  the  American 
National  Red  Cross,  and  such  other  sanitary  formations  as  may  be 
necessary. 

Advance  group. — Two  evacuation  hospitals  and  one  evacuation, 
ambulance  company  for  each  division  at  the  front  supplied  from  the 
advance  section,  and  an  advance  medical  supply  depot.  The  evacu- 
ation hospitals  and  evacuation  ambulance  companies  of  the  advance 
section  are  collectii^ely  known  as  the  sanitary  column. 

THE  BASE  HOSPITAL. 

(Capacity  500.) 

767.  Base  hospitals  are  Medical  Department  units  of  the  line  of 
communications  under  the  supervision  of  the  surgeon,  base  group. 
They  will  occupy  buildings,  if  suitable  ones  are  available. 

758.  The  base  hospitals  will  be  numbered  from  1  upward  in  a 
single  consecutive  series  for  the  entire  military  establishment.  They 
will  be  further  distinguished  by  adding  the  designation  of  the  field 
army  to  which  they  belong,  as  "Base  Hospital  No.  9,  3rd  Field 
Army." 

759.  These  hospitals  should  be  established  at  the  base  and,  when 
necessary,  in  accessible  situations  along  the  line  of  commmiications. 
The  number  to  be  assigned  to  each  line  of  communications  when 
first  established  is  determined  on  the  basis  of  the  number  of  troops 
to  be  served  and  the  percentage  of  sick  and  wounded  which  may 
reasonably  be  anticipated  in  the  particular  campaign  lq  question. 
(See  par.  152.) 

(a)  New  base  hospitals  may  be  established  when  those  already  in 
operation  have  become  too  far  separated  from  the  Army,  when  they 
are  needed  to  supplement  the  services  of  more  advanced  hospitals, 
or  when  new  sites  will  be  more  convenient  to  handle  wounded. 

(&)  On  the  eve  of  battle  it  may  be  necessary  for  the  surgeon,  base 
group,  to  open  additional  base  hospitals  near  the  front  or  to  augment 
the  personnel  and  supplies  of  those  already  established  there. 

760.  The  personnel  allowed  a  base  hospital,  as  given  in  Tables  of 
Organization,  are  ordinarily  assigned  as  follows :  20  medical  officers, 
1  colonel  (commanding),  1  major  (operating  surgeon),  18  captains 


228  MANUAL  FOR  THE    MEDICAL  DEPARTMENT. 

and  lieutenants  (1  adjutant,  1  quartermaster,  1  pathologist,  1  eye, 
ear,  nose,  and  throat  specialist,  2  assistant  operating  surgeons,  12 
ward  surgeons);  1  dental  surgeon;  8  sergeants  first  class  (1  general 
supervision,  1  in  charge  of  office,  1  in  charge  of  quartermaster  sup- 
plies and  records,  1  in  charge  of  kitchen  and  mess,  1  in  charge  of 
detachment  and  detachment  accounts,  1  in  charge  of  patients' 
clothing  and  effects,  1  in  charge  of  medical  property  and  records, 
1  in  charge  of  dispensary);  16  sergeants  (1  in  dispensary,  2  in  store- 
rooms, 1  in  mess  and  kitchen,  4  in  office,  2  in  charge  of  police,  6  in 
charge  of  wards);  14  acting  cooks;  115  privates  first  class  and  pri- 
vates (68  ward  attendants^  3  in  dispensary,  5  in  operating  room, 
1  in  laboratory,  14  in  kitchen  and  mess,  6  in  storerooms,  4  orderlies, 
5  in  office,  4  outside  police,  1  assistant  to  dentist,  4  supernumeraries) ; 
46  nurees,  female^  (1  chief  nurse,  1  assistant  to  chief  nurse,  41  in 
wards,  2  in  operating  room,  1  dietist). 

761.  So  far  as  adaptable  the  regulations  for  general  hospitals  will 
govern  the  interior  administration  of  base  hospitals.  (See  pars.  283 
to  316.) 

762.  The  base  hospitals  are  designed  to  receive  patients  from  the 
field  and  evacuation  hospitals,  as  well  as  cases  originating  on  the  line 
of  commmiications,  and  to  give  them  definitive  treatment.  They 
should  be  well  equipped  for  such  treatment  and  there  should  be  sent 
to  the  home  temtory  only  those  patients  who  require  special  treat- 
ment or  whose  condition  is  such  that  they  may  be  regarded  as  either 
permanently  disabled  or  likely  not  to  recover  within  a  reasonable 
time.  If,  however,  the  number  of  new  cases  from  the  front  is  taxing 
the  base  hospitals  beyond  their  capacity  or  the  facilities  thereof  are 
inadequate  from  any  cause  to  meet  the  demands  upon  them,  more 
extensive  evacuation  of  patients  must  be  effected.  On  the  eve  of 
battle  the  base  hospitals  near  the  front  should  be  cleared  as  far  as 
possible  to  make  room  for  new  patients. 

763.  Unless  otherwise  provided  the  personnel,  supplies,  and  equip- 
ment for  the  evacuation  of  patients  from  advanced  base  hospitals  to 
the  rear  will  come  from  the  hospitals  receiving  them. 

764.  The  commanding  officer  of  the  hospital  will  indicate  under 
"Remarks"  in  his  daily  report  made  on  Form  83,  the  number  of  pa- 
tients who  require  transfer  so  that  arrangements  may  be  made  ac- 
cordingly. He  should  himself  supervise  the  selection  of  patients  for 
furtlier  transfer  in  order  to  keep  down  to  the  lowest  possible  figure 
the  number  of  men  lost  to  the  Army. 

765.  Base  hospitals  ordered  to  close  will  dispose  of  their  patients 
as  directed  by  the  surgeon,  base  group. 

1  When  female  nurses  are  not  available,  additional  enlisted  men  will  bo  assigned  in  their  stead. 


THE   LINE   OF   COMMUNICATIONS.  229 

THE  CONVALESCENT  CAMP. 

766.  In  appropriate  cases  convalescent  camps  may  be  established  in 
the  vicmity  of  base  hospitals.  Such  camps  will  be  branches  of  the 
base  hospital  near  which  they  are  situated. 

THE  CONTAGIOUS  DISEASE  HOSPITAL. 

767.  Ordinarily  cases  of  infectious  disease  occurring  among  troops 
in  the  theater  of  operations  will  be  cared  for  in  the  isolation  wards  of 
base  or  other  hospitals  and  so  far  as  practicable  at  or  near  the  place  of 
origin  of  the  disease.  In  the  presence  of  a  serious  epidemic,  however, 
special  facilities  for  the  isolation  of  cases  may  be  required.  In  this 
event  the  surgeon,  base  group,  with  the  authority  of  the  commander 
of  the  line  of  communications,  will  organize  such  contagious  disease 
hospitals  as  may  be  necessary  to  meet  the  emergency. 

768.  No  definite  organization  for  these  hospitals  can  be  prescribed 
in  advance  of  their  establishment.  The  personnel  for  their  opera- 
tion will  be  procured  from  the  home  territory  or  provided  from  the 
line  of  communications  as  circumstances  may  warrant. 

TRAINS,  BOATS,  AND    SHIPS. 

769.  The  general  regulations  governing  the  organization,  personnel, 
materiel,  and  operation  of  hospital  trains,  trains  for  patients,  hospital 
ships,  and  ships  for  patients  in  the  service  of  the  interior  wiU  apply 
also  to  the  similar  medical  department  units  on  the  line  of  communi- 
cations, except  that  the  duties  performed  by  the  Surgeon  General  with 
respect  to  the  former  will  devolve  in  the  latter  case  upon  the  sm'geon, 
base  group.     (See  pars.  613  and  619.) 

770.  As  hospital  trains  are  permanent  Medical  Department  units, 
when  their  organization  on  the  line  of  communications  is  necessary 
timely  measures  to  procure  the  prescribed  personnel  therefor  from 
home  territory  should  be  instituted.  Pending  the  arrival  of  such  per- 
sonnel the  medical  officei-s  and  Hospital  Corps  men  needed  to  operate 
these  trains  should  temporarily  be  drawn  from  other  Medical  Depart- 
ment units  on  the  line,  exclusive  of  the  evacuation  hospitals  and 
evacuation  ambulance  companies,  whose  personnel  should  under  no 
ordinary  circumstances  be  diminished. 

(a)  When  it  is  necessary  to  organize  trains  for  patients  they  may 
also  obtain  their  medical  personnel  temporarily  from  other  units  on 
the  line  of  communications  exclusive  of  the  evacuation  hospitals  and 
evacuation  ambulance  companies,  but  permanent  details  from  the 
service  of  the  interior  should  be  requested  for  their  contmued 
operation. 

771.  General  arrangements  for  the  running  of  hospital  trains  and 
trains  for  patients  will  be  made  by  the  sm-geon,  base  group,  with  the 


230  MANUAL  FOR  THE   MEDICAL  DEPARTMENT, 

officer  in  charge  of  the  base.  Details  in  regard  to  the  loading  and  un- 
loading of  patients  at  railway  stations  %vill  be  arranged  between  the 
officers  in  charge  of  such  stations  and  the  commandmg  officers  of  the 
evacuation  ambulance  companies  or  hospitals  wliich  are  to  transfer 
or  receive  the  patients. 

772.  Circumstances  will  rarely  be  such  that  hospital  ships  will  be 
available  on  the  line  of  communications.  But  navigable  streams 
will  often  offer  opportmiities  for  the  more  comfortable  and  expedi- 
tious transportation  of  the  sick  and  injined  than  can  be  had  by  land, 
and  the  surgeon,  base  group,  should  in  such  event  avail  hinxself  thereof 
by  organizing  the  necessary  boat  service.  The  personnel  and  sup- 
plies for  such  service  will  be  drawn  from  the  line  of  communications 
as  in  the  case  of  trains  for  patients. 

CASUAL  CAMPS   FOR   SANITARY  TROOPS. 

773.  These  camps  are  designed  for  the  reception,  shelter  and  con- 
trol of  Medical  Department  persomiel  on  their  arrival  and  during  their 
stay  at  the  base  pending  assignment.  They  will,  w^th  the  approval 
of  the  commanding  officer  of  the  Ime  of  communications,  be  estab- 
lished by  the  surgeon,  base  group,  at  or  near  the  base.  They  will  be 
under  the  immediate  command  in  each  case  of  the  senior  medical 
officer  on  duty  therein,  and  their  admmistration  wiU  be  governed  by 
general  military  principles. 

SANITARY   SQUADS. 

•774.  For  the  purpose  of  giving  attention  to  sanitary  matters  not 
within  the  control  of  regimental  or  other  miUtary  organizations, 
sanitary  squads  will  be  organized  on  the  line  of  commmiications  at 
such  places  as  may  be  necessary. 

775.  The  personnel  of  such  squads  will  consist  of  enlisted  men  of 
the  Hospital  Corps  augmented  by  such  number  of  other  enlisted 
men  and  civilian  laborers  as  the  amount  and  character  of  the  work 
may  justify.  Each  squad  will  be  in  immediate  charge  of  a  medical 
officer. 

776.  The  function  of  sanitary  squads  is  to  supervise  or  execute,  as 
the  case  may  be:  (1)  The  necessary  measures  for  the  sanitation  of 
camp  sites,  towns  or  villages  not  occupied  or  garrisoned,  or  of  such 
parts  of  the  same  as  may  be  otherwise  unprovided  for;  (2)  sanitary 
work  that  may  be  necessary  for  the  general  welfare  but  that  can  not 
be  performed  conveniently  or  profitably  by  individual  organizations; 
(3)  the  operation  of  sanitary  apparatus  used  by  troops  in  common 
and  not  under  control  of  any  one  organization. 

777.  Sanitary  squads  will  not  be  employed  to  relieve  regimental 
and  other  similar  organizations  of  the  duty  of  providing  for  the  sani- 
tation of  their  owii  camps. 


THE   LINE   OF   COMMUNICATIONS.  231 

FIELD    LABORATORIES. 

778.  One  or  more  field  laboratories  will  be  established  on  the  line 
of  communications  where  most  convenient  for  the  work  to  be  accom- 
plished. A  suitable  building  should  be  chosen  in  each  case,  prefer- 
ably in  a  town  provided  with  water  and  gas  supply. 

779.  The  technical  supplies  for  a  field  laboratory  are  listed  in  para- 
graph 896.  Such  additional  equipment  will  be  supplied  as  the  sur- 
geon, base  group,  may  deem  necessary. 

REST   STATIONS. 

780.  Rest  stations  are  organized  for  the  purpose  of  giving  tem- 
porary care  and  treatment  to  sick  and  wounded  en  route.  When  on 
railway  lines  those  established  on  the  line  of  communications  are 
similar  in  every  way  to  those  pertaining  to  the  service  of  the  interior 
and  their  personnel  should,  if  practicable,  be  obtained  in  like  maimer. 
(See  par.  618.) 

781.  In  exceptional  cases  the  distance  between  the  hospitals  in  the 
zone  of  the  advance  and  the  advance  section  of  the  line  of  conununi- 
cations  may  be  so  great  that  it  will  be  necessary  to  establish  rest 
stations  on  the  route  of  the  evacuation  ambulance  companies. 
Under  these  circumstances  the  rest  stations  will  usually  be  of  a  tem- 
porary character  and  their  personnel  and  supplies  will  be  provided 
by  the  evacuation  ambulance  companiep.  At  such  stations  provision 
should  be  made  for  temporary  but  comfortable  shelter,  nourishing 
food,  and  readjustment  of  dressings  or  other  treatment  necessary  to 
enable  the  patients  to  proceed  comfortably  to  their  destination. 

THE  BASE  MEDICAL  SUPPLY  DEPOT. 

782.  A  medical  supply  depot  will  be  established  at  the  base.  The 
officer  in  charge  of  this  depot  will  prepare  in  quadruplicate  a  list  of 
all  supplies  required,  showing  the  maximum  and  minimum  quantities 
of  each  article  which  should  be  kept  on  hand  in  the  depot,  havmg  due 
regard  in  formulating  this  estimate  to  the  number  of  troops  to  be 
supplied,  the  tune  required  by  the  depot  to  replenish  supplies,  the 
character  of  the  military  operations  in  prospect,  etc.  In  stating  the 
minimum  quantity  of  supplies  the  supply  officer  should  include  at 
least  one  medical  reserve  unit  (par.  891)  for  each  division  at  the 
front,  in  addition  to  the  supphes  likely  to  be  required  by  the  sanitary 
formations  on  the  line  of  communications.  Three  copies  of  the  above- 
mentioned  list  will  be  forwarded  through  military  channels  to  the 
commander  of  the  military  forces.  Wlien  approved,  one  copy  will  be 
retained  at  the  headquarters  of  the  commander  of  the  field  forces, 
one  copy  wiU  be  sent  to  the  Surgeon  General,  and  one  copy  will  be 
returned  to  the  officer  in  charge  of  the  depot. 


232  Manual  for  the  medical  department. 

(a)  When  the  supply  ou  hand  of  any  article  exceeds  or  falls  below 
the  specified  maximum  or  mhiimum,  the  fact  will  be  reported  in 
writing  to  the  commander  of  the  line  of  communications  and  to  the 
senior  medical  officer  on  the  staff  of  the  commander  of  the  field  forces, 
with  appropriate  explanatory  remarks. 

783.  Stock  to  replace  issues  from  these  depots  will  be  maintained 
without  formal  requisition.  (See  F.  S.  R.:  Zone  of  the  Advance, 
General.)  When  such  replenishment  is  desired,  single  copies  of  the 
invoices  on  which  supplies  were  issued,  stamped  "Replenishment 
requested,"  will  be  forwarded  direct  to  the  designated  source  of  supply. 
Any  articles  shown  on  an  invoice  for  which  replenishment  is  not  desired 
wUl  be  erased  therefrom  before  the  invoice  is  stamped  and  forwarded. 
Invoices  stamped  and  forwarded  as  above  described  will  be  acted 
upon  as  if  they  were  approved  requisitions. 

784.  Requisitions  from  the  depot  for  other  than  the  replenishment 
of  issues,  if  within  the  limits  of  the  maximum  and  minimum  table, 
will  be  forwarded  in  duplicate  to  the  surgeon,  base  group.  He  wUl 
modify  them  at  his  discretion,  forward  one  copy  to  tlie  issuing 
depot  in  the  home  territory  and  return  the  other  copy  to  the  base 
depot  with  his  modifications,  if  aiiy,  noted  thereon. 

785.  Requisitions  for  supplies  not  provided  for  iii  the  maximum 
and  minmium  table  require  the  approval  of  the  Surgeon  General. 

786.  In  emergencies  the  surgeon,  base  group,  may  authorize  local 
purchases  to  supply  the  immisdiate  needs  of  the  depots  on  the  fine  of 
communications.     (See  par.  819^.) 

THE  ADVANCE  MEDICAL  SUPPLY  DEPOT. 

787.  The  stock  on  hand  at  this  depot  will  be  considered  a  part  of 
the  available  supply  of  the  base  depot,  as  far  as  the  table  fixing  the 
maxhuum  and  minimum  stock  limits  is  concerned. 

788.  Maximum  and  minmium  limits  of  stock  to  be  maintained  at 
this  depot  will  be  determined  by  the  commander  of  the  line  of  com- 
munications on  recommendation  of  the  surgeon,  base  group,  to  whom 
any  variation  of  stock  above  or  below  the  prescribed  limits  will  be 
reported  at  once  with  appropriate  explanatory  remarks.  In  making 
his  reconmiendations  the  surgeon,  base  group,  should  include  in  the 
minimum  quantity  of  supplies  to  be  mamtaiiied  at  this  depot  at 
least  one  medical  reserve  unit  (par.  891). 

789.  Issues  from  the  advance  depot  wdl  be  replenished  from  the 
base  depot  without  formal  requisition,  in  the  manner  provided  under 
base  supply  depots  (par.  783). 

790.  Requisitions  from  the  advance  depot  for  supplies  other  than 
those  required  to  replace  issues  will  be  forwarded  in  duplicate  to  the 
surgeon,  base  group.     He  will  modify  them  at  his  discretion,  send 


THE    LINE   OF   COMMUNICATIONS.  23S 

one  copy  to  the  base  supply  depot  for  issue  and  return  the  other 
copy  to  the  writer  with  his  modifications,  if  any,  noted  thereon. 

791.  The  advance  depot  is  intended  as  a  source  of  supply  for 
troops  in  the  zone  of  the  advance  and  it  should  not,  except  in  emer- 
gency, be  depleted  by  issues  to  evacuation  hospitals,  evacuation  am- 
bulance companies,  and  other  units  on  the  line  of  communications. 

792.  The  operations  of  this  depot  will  necessarily  be  controlled  by 
the  military  situation  in  the  zone  of  the  advance.  If  the  troops  are 
occupying  defensive  positions  with  little  probability  of  an  immediate 
advance  the  depot  may  be  established  in  buildings,  if  they  are  avail- 
able, or  under  canvas;  if  they  are  advancing  the  depot  may  be  main- 
tained on  barges,  in  box  cars,  or  on  motor  trucks.  In  the  latter  case 
the  prescribed  stock  of  supplies  may,  temporarily,  have  to  be  reduced 
to  such  essentials  as  surgical  dressings,  medicines,  and  other  articles 
of  that  class.  In  determining  the  character  of  the  articles  that  may 
be  eliminated  under  these  circumstances  much  will  depend  upon  the 
facility  with  which  supplies  can  be  obtained  from  the  base. 

THE  EVACUATION  HOSPITAL. 

(Capacity  432.) 

793.  The  evacuation  hospitals  are  Medical  Department  .  units 
belonging  to  the  line  of  communications.  Ordin  'ily  two  evacua- 
tion hospitals  will  be  assigned  to  a  line  of  communications  for  each 
division  which  it  serves  in  the  zone  of  the  advance.  They  wiU  be 
numbered  and  designated  like  the  base  hospitals  (par.  758). 

794.  The  personnel  of  an  evacuation  hospital  at  war  strength  as 
given  in  Tables  of  Organization  are  ordinarily  distributed  as  follows: 
16  medical  officers,  1  lieutenant  colonel  (commanding),  1  major 
(operating  surgeon),  14  captains  and  lieutenants  (1  adjutant,  1  quar- 
termaster, 2  assistant  operating  surgeons,  10  ward  surgeons);  8  ser- 
geants first  class  (1  in  general  supervision,  1  in  charge  of  office,  1  in 
charge  of  quartermaster  supplies  and  records,  1  in  charge  of  kitchen 
and  mess,  1  in  charge  of  detachment  and  detachment  accounts,  1  in 
charge  of  patients'  clothing  and  effects,  1  in  charge  of  medical  prop- 
erty and  records,  1  in  charge  of  dispensary);  20  sergeants  (1  in  dis- 
pensary, 2  in  storerooms,  1  in  mess  and  kitchen,  4  in  officCj  1  in  charge 
of  police,  10  in  charge  of  wards,  1  in  operating  room);  10  acting 
cooks;  141  privates  fii-st  class  and  privates  (98  ward  attendants,  3 
in  dispensary,  5  in  operating  room,  10  in  kitchen  and  mess,  4  in 
storerooms,  4  orderlies,  5  in  office,  6  outside  police,  6  supernu- 
meraries). 

795.  The  primary  function  of  the  evacuation  hospital  is  to  replace 
field  hospitals  so  that  the  latter  may  move  with  their  divisions,  or  to 
take  over  their  patients  with  the  same  object  in  view.     So  far  as  it 


234  MANUAL  FOR  THE  MEDICAL  DEPARTMENT. 

would  not  interefere  with  this  function  the  evacuation  hospital  may- 
be used  for  ordinary  hospital  purposes  on  the  line  of  communications. 

796.  An  evacuation  hospital  is  preferably  established  on  a  rail- 
way or  navigable  stream,  but  this  preference  must,  of  course,  yield 
to  the  military  situation.  Care  should  be  taken  to  choose  a  site 
accessible  to  wheeled  transport  and  with  an  abundant  supply  of 
water  and  fuel.  When  suitable  buildings  are  available  they  will  be 
utilized. 

797.  The  places  where  evacuation  hospitals  are  to  be  established 
or  to  which  they  are  to  be  moved  will  be  determined  by  the  surgeon, 
advance  group,  under  the  authority  of  his  commanding  officer. 

798.  Before  a  battle  all  evacuation  hospitals  will  be  brought  as 
far  forward  as  possible  and  will  remain  in  readiness  for  opening  or 
further  advance. 

799.  The  duties  of  an  evacuation  hospital  when  opened  are  similar 
to  those  of  a  field  hospital  in  combat  (par.  701)  and  corresponding 
departments  will  be  created  (par.  703). 

800.  The  character  of  the  surgical  treatment  to  be  given  to  wounded 
therein  will  vary  widely  under  different  conditions.  Wlien  during 
battle  many  wounded  are  being  received  the  treatment  afforded  will 
hardly  be  more  extensive  than  that  at  field  hospitals,  viz,  emergency 
operations  and  better  preparation  for  transport.  When  few  wounded 
are  coming  in  and  there  is  no  probability  of  an  early  move,  complete 
treatment  may  be  given  even  dm'ing  battle. 

801.  Serious  cases  requiring  protracted  treatment  and  all  patients 
permanently  incapacitated  should  be  sent  to  the  rear  from  evacua- 
tion hospitals  as  soon  as  their  condition  permits. 

(a)  When  battle  is  expected  active  measures  of  evacuation  should 
be  employed  to  clear  the  evacuation  hospitals  in  use  so  that  they 
may  be  ready  for  movement  toward  the  front. 

(6)  Dm-ing  battle  all  patients  in  evacuation  hospitals  who  are  fit 
for  transportation  should  be  hurried  to  the  rear  as  soon  as  possible 
to  make  room  for  new  cases  from  the  front.  It  will  rarely  be  possible 
for  evacuation  hospitals  to  send  slightly  wounded  back  to  their 
organizations  during  combat,  but  every  opportunity  should  be  taken 
to  do  so  in  order  that  such  wounded  shall  not  become  further  sepa- 
rated from  their  commands. 

802.  The  necessary  transportation  for  moving  patients  to  the  rear 
from  evacuation  hospitals  will  be  provided  by  direction  of  the  com- 
manding officer  of  the  advance  section  of  the  Ime  of  commmiications. 

803.  The  commanding  officer  of  the  evacuation  hospital  will  uidi- 
cate,  under  "Remarks"  in  his  daily  report  made  on  Form  83,  the 
number  of  patients  who  require  transportation  to  the  rear. 


THE   LINE   OF   COMMUNICATIONS.  235 

THE  EVACUATION   AMBULANCE  COMPANY. 

804.  Evacuation  ambulance  companies  are  organized  only  in 
time  of  war  or  when  war  is  imminent.  They  are  allowed  in  the 
proportion  of  one  for  each  division  at  the  front.  They  will  be  num- 
bered consecutively  from  1  upward  for  each  field  army  to  which  they 
belong,  as  "  Evacuation  Ambulance  Company  No.  1 ,  3rd  Field  Army. " 

805.  The  commanding  officer  of  the  company  is  under  the  im- 
mediate orders  of  the  surgeon,  advance  group. 

806.  The  allowance  of  personnel  and  equipment  for  an  evacuation 
ambulance  company  will  be  that  provided  for  an  ambulance  company 
with  such  modifications  as  the  conditions  under  which  the  former  is 
serving  may  warrant.  Motor  ambulances  should,  if  practicable,  be  sub- 
stituted for  horse-drawn  vehicles.  Ordinarily  pack  mules  will  not 
be  required,  and,  owing  to  the  fact  that  the  company  normally  oper- 
ates from  the  head  of  the  line  of  communications  where  there  is 
a  supply  depot,  the  quantity  of  reserve  surgical  dressings  provided 
for  the  ambulance  company  may  be  largely  reduced. 

807.  The  primary  function  of  the  evacuation  ambulance  company 
is  the  evacuation  of  field  hospitals  and  the  transportation  and  care 
of  patients  en  route  therefrom  to  evacuation,  base,  or  other  hospitals 
on  the  line  of  communications  or  to  points  with  train  or  boat  connec- 
tions for  rail  or  water  transport  to  such  hospitals. 

808.  On  the  march  the  company  will  be  brought  up  to  clear 
field  hospitals  of  patients  collected  by  the  latter  (par.  700),  and  to 
take  them  to  points  on  the  fine  of  communications. 

809.  When  battle  is  soon  to  occur  it  will  usually  be  necessary  to 
greatly  increase  the  number  of  vehicles  and  bearers  of  the  company. 
This  increase  will  be  provided  by  the  officer  in  charge  of  the  advance 
section  on  the  recommendation  of  the  surgeon,  advance  group. 

810.  Just  before  a  battle  commences  all  evacuation  ambulance 
companies  should  be  located  as  far  in  advance  as  the  conditions 
permit. 

811.  At  the  proper  time  or  times  during  or  after  the  battle  each 
company,  under  instructions  given  therefor  by  the  surgeon,  advance 
group,  will  proceed  to  the  field  hospitals  which  it  is  to  evacuate,  will 
report  to  the  commanding  officers  thereof,  will  receive  the  patients 
who  are  to  go  to  the  rear,  and  in  due  course  will  deliver  them  to  the 
Medical  Department  organization  which  is  designated  for  their 
further   care. 

(a)  The  evacuation  ambulance  company  will  receive  and  provide 
for  all  patients  turned  over  to  it  by  a  field  hospital.  (See  also  par. 
706.) 

(h)  It  will  also  receive  and  provide  for  the  slightly  wounded,  able 
to  walk,  who  report  to  it  by  proper  authority  from  the  dressing 
stations,  the  station  for  slightly  wounded,  or  other  places  on  the  field. 


236  MANUAL   FOR   THE   MEDICAL   DEPARTMENT. 

812.  The  assignment  of  the  sick  and  wounded  to  the  various 
kinds  of  transport  (automobiles,  ambulances,  wagons,  country  carts, 
bearers,  etc.)  will  be  made  by  the  commandmg  officer  of  the  com- 
pany according  to  their  condition.  In  doubtful  cases  the  authorities 
of  the  hospital  should  be  called  upon  for  necessary  information. 

ADMINISTRATION. 

813.  For  administration  and  control  the  line  of  communications  is 
organized  as  follows: 

(1)  A  service  of  defense. 

(2)  A  supply,  sanitary,  and  telegraph  service. 

(3)  A  service  of  mihtary  railways. 

814.  The  commander  of  the  line  of  communications  is  responsible, 
under  existing  regulations,  for  the  defense  of  the  zone  and  for  the 
government  of  that  portion  of  the  zone  placed  under  military  control. 
All  troops,  mihtary  estabhshments,  and  personnel  in  the  zone  of  the 
hne  of  communications  are  under  his  control.  He  is  responsible 
that  the  reserve  of  supphes  on  hand  in  his  various  depots  shall  be 
maintained  between  the  maximum  and  minunum  amomits  fixed  by 
the  commander  of  the  field  forces. 

815.  All  personnel  pertaining  to  the  sanitary  service  of  the  hne  of 
communications  report  at  the  base  for  assignment  to  duty.  Here 
advance  and  intermediate  sections  are  organized  and  sent  fonvard 
as  required. 

816.  Base,  intermediate,  and  advance  sections  are  each  commanded 
directly  by  the  commander  of  the  hne  of  communications  through  an 
assistant  chief  of  staff  authorized  to  issue  orders  in  his  name. 

817.  Tlie  senior  medical  officer  assigned  to  duty  at  the  base  section 
of  the  line  of  communications  (surgeon,  base  group)  acts  in  a  dual 
capacity.  (1)  He  is  the  technical  adviser  of  the  commander  of  the 
Hne  of  communications  on  all  matters  relating  to  the  operation  of 
the  Medical  Department  within  the  zone  of  the  line  of  communica- 
tions. In  this  capacity  he  transacts  his  business  directly  with  the 
headquarters  of  the  line  of  communications.  (2)  He  acts  in  an  exec- 
utive capacity,  controlling  directly  all  Medical  Department  estab- 
hshments  pertaining  to  the  base.  In  this  relation  all  communications 
between  the  surgeon,  base  group,  and  the  commander  of  the  line  of 
communications  pass  through  the  officer  in  charge  of  the  base. 

818.  As  adviser  to  the  commander  of  the  line  of  comnumications 
the  duties  of  the  surgeon,  base  group,  and  the  relation  he  bears  to 
the  medical  personnel  iji  the  zone  of  the  line  of  communications,  are 
analogous  to  those  of  a  department  sui-geon,  and  he  will  be  governed 
by  the  regulations  for  the  latter  (see  pars.  364  to  370),  with  such  modi- 
fications as  the  different  conditions  demand.     To  the  extent  of  his 


THE    LINE   OF    COMMUNICATIONS.  237 

aiitliority  the  surgeon,  base  group,  is  responsible  for  the  efficiency  of 
the  entire  medical  service  of  the  line  of  communications,  and  for  the 
accomplishment  by  such  service  of  its  mission  as  outlined  in  para- 
graph 754. 

819.  Tlie  duties  of  the  surgeon,  base  group,  that  may  be  specifically 
stated  are  as  follows: 

(a)  He  will  direct  and  control  personnel  of  the  American  National 
Ked  Cross  on  duty  with  the  line  of  communications. 

(&)  He  will  decide  whether  personal  service  individually  volun- 
teered shall  be  accepted  (par.  537) ;  and  when  accepted,  he  will  direct 
how  it  shall  be  employed. 

(c)  He  will  devise  appropriate  measures  for  the  shelter,  supply, 
treatment,  and  transport  of  the  sick  and  wounded,  including  suitable 
provisions  to  secure  the  retention  of  effectives  at  the  front  and  for 
the  sending  of  noneffectives  to  the  rear;  and  will  consult  with  the 
chief  of  staff  and  the  heads  of  other  staff  departments  in  reference 
to  the  details  of  such  measures. 

(d)  He  will  coordinate  the  Medical  Department  administration  of 
the  Ihie  of  communications,  and  to  that  end  will  keep  continuously  in 
touch  with  the  surgeons  of  advance  and  intermediate  groups. 

(e)  He  will  conmaunicate  with  the  Surgeon  General  regarding  med- 
ical arrangements  for  the  movement  of  patients  from  the  base  to 
home  territory  and  the  provision  of  Medical  Department  personnel 
and  supplies  from  the  home  territory  for  the  line  of  communications. 

(/)  He  will  act  on  requisitions  for  Medical  Department  supplies  as 
provided  in  paragraph  552.     0*^^'  "■ 

(g)  With  the  approval  of  the  Surgeon  General  he  may  give  author- 
ity for  the  purchase  in  local  markets  of  medical  supplies  immediately 
necessary  for  the  care  of  the  sick  and  wounded  and  the  prevention 
of  the  spread  of  disease. 

(h)  With  the  approval  of  the  Surgeon  General  he  may  receive  vol- 
untary contributions  in  money  or  kind  for  the  benefit  of  the  sick  and 
wounded  and  he  may  expend  the  same  as  he  deems  fit. 

(i)  With  the  approval  of  the  Surgeon  General,  he  may  make  con- 
tracts with  surgeons  and  employ  or  authorize  the  emplo3^nent  of 
other  civilians  for  emergency  service  under  the  Medical  Department 
on  the  line  of  communications. 

(j)  When  battle  is  impending,  he  will  take  such  steps  as  are  neces- 
sary to  insure  that  mobile  units  of  the  line  of  communications  are 
free  to  advance  when  required;  that  hospitals  are  cleared  for  new 
cases;  that  sufficient  medical  supphes  are  collected  in  the  immediate 
rear  of  the  army  to  meet  the  exigencies  of  combat;  and  that  person- 
nel available  for  assistance  in  the  zone  of  the  advance  are  assembled 
and  held  in  readiness  as  far  forward  as  practicable. 


238  MANUAL    FOR    THE    MEDICAL    DEPARTMENT. 

(k)  He  will  make  timely  recommendations  to  tbe  commander  of 
the  line  of  communications  regarding  transportation  required  for 
medical  supplies  and  for  patients, 

(Z)  He  will  render  to  the  chief  surgeon  of  the  field  army  the  consoli- 
dated daily  field  report  of  sanitary  personnel  and  transportation  and 
the  consolidated  daily  field  report  of  patients  (Form  84)  and  the 
weekly  noneffective  curve  chart  (Form  85). 

820.  The  relations  of  the  senior  medical  officer  assigned  to  duty 
with  the  advance  section  (surgeon,  advance  group)  and  of  the  senior 
medical  officer  of  any  intermediate  section  that  may  be  estabhshed, 
to  the  surgeon,  base  group,  are  similar  to  those  of  post  surgeons  to 
department  surgeons. 

821.  The  surgeon,  advance  group,  under  the  supervision  of  the 
officer  in  charge  of  the  advance  section,  controls  directl}"  all  sanitary 
units  at  the  head  of  the  line  of  communications. 

822.  Tlie  surgeon,  advance  group,  has  general  charge  of  the  trans- 
portation of  patients  from  the  field  hospitals  or  other  units  in  the 
zone  of  the  advance  to  the  evacuation  hospitals  or  other  places  on  the 
line  of  communications  prepared  for  their  reception, 

823.  During  or  after  battles  of  any  magnitude  the  transportation 
included  in  the  sanitary  column  will  usually  be  found  greatly  inade- 
quate for  the  evacuation  of  the  wounded.  It  will  be  the  duty  of  the 
surgeon,  advance  group,  to  anticipate  these  conditions  and  to  make 
timely  provision  for  obtaining  the  increased  transportation  neces- 
sary. Under  competent  authority,  vehicles  belonging  to  the  civiHan 
population  may  be  impressed,  and  use  made  of  the  supply  column 
of  the  advance  section.  He  should  direct  the  operation  of  such  addi- 
tional transportation  until  the  emergency  is  past. 

824.  Under  all  circumstances  the  surgeon,  advance  group,  should 
maintain  close  touch  with  the  division  surgeons  and  medical  organ- 
izations at  the  front  and  make  suitable  arrangements  to  relieve  them 
promptly  of  the  sick  and  wounded  left  behind. 

826.  When  battle  is  impending,  he  will  clear  his  evacuation  hospi- 
tals as  far  as  necessary,  so  that  room  may  be  available  for  wounded 
from  the  front;  he  will  assemble  near  the  front  his  evacuation  ambu- 
lance companies  and  one  or  more  evacuation  hospitals,  and  he  will 
advance  supphes  to  points  where  they  may  be  readily  available  for 
the  divisional  units. 

826.  One  of  the  most  important  duties  which  devolve  upon  all 
medical  officers  in  the  zone  of  the  line  of  communications  is  careful 
exercise  of  judgment  in  making  recommendations  regarding  the 
transfer  of  the  sick  and  wounded  to  the  home  territory  in  order  that 
hospitals  on  the  line  of  communications  may  not  be  burdened  with 
patients  who  are  permanently  disabled  and  that  soldiers  who  are 


THE   LINE   OF   COMMUNICATIONS.  239 

likely  to  be  able  to  rejoin  their  commands  within  a  reasonable  time 
be  not  sent  too  far  to  the  rear. 

827.  The  duties  of  sanitary  hispectors  assigned  to  the  service  of 
the  line  of  communications  are  analogous  to  those  of  department 
sanitary  inspectors,  and  they  will  be  governed  by  the  regulations  for 
the  latter  (pars.  371  to  374)  with  such  modifications  as  the  different 
conditions  demand. 


ARTICLE  XV.— ADMINISTRATION  OF  THE  SANI- 
TARY SERVICE  OF  THE  THEATER  OF  OPERA- 
TIONS. 


THE   CHIEF   SURGEON   OF  A  FIELD   ARMY. 

828.  The  chief  surgeon  of  a  field  army  belongs  to  the  technical 
and  administrative  group  of  the  staff  of  the  commander.  During 
the  period  of  grand  tactical  operations  when  a  hne  of  communica- 
tions is  in  operation  the  chief  surgeon  is,  in  general,  an  advisory 
officer,  administering  directly  only  the  limited  personnel  of  the 
Medical  Department  attached  to  headquarters.  In  his  advisory 
capacity  he  concerns  himself  only  with  the  broad  prmciples  under- 
lying sanitary  administration.  His  recommendations  are  such,  that  ' 
when  promulgated  by  the  commander,  the  details  of  the  sanitary 
sei-vice  wiU  be  left  to  subordinate  commanders.  Under  these  con- 
ditions the  chief  surgeon  maintains  no  office  of  record.  He  may, 
however,  direct  that  all  or  any  of  the  Medical  Department  reports 
from  the  zone  of  the  advance  pass  through  the  office  of  the  surgeon, 
base  group,  before  being  forwarded  to  the  War  Department,  in  order 
that  the  information  contamed  therein  may  be  tabulated  for  his  use 
or  that  the  reports  may  be  returned  for  correction. 

829.  Upon  the  completion  of  the  grand  tactical  operations  and 
upon  the  discontinuance  of  an  organized  line  of  communications, 
or  if  no  line  of  communications  has  been  organized,  he  assumes  a 
more  direct  control  of  such  Medical  Department  personnel,  depots, 
hospitals,  etc.,  as  the  War  Department  may  place  under  the  command 
of  the  officer  upon  whose  staff  he  is  serving.  Under  these  circum- 
stances the  chief  surgeon  will  maintam  an  office  of  record  in  so  far 
as  he  is  assigned  the  duties  which  devolve  upon  the  surgeon,  base 
group,  when  a  line  of  communications  is  operated. 

830.  The  duties  of  the  chief  surgeon  include  those  outlined  in 
paragraph  362.     He  is  specifically  charged  with  the  following: 

(a)  He  will  keep  the  Surgeon  General  advised  of  the  condition 
and  efficiency  of  the  sanitary  service  of  the  command. 

(6)  He  will  take  the  necessary  steps  to  insure  coordination  of 
the  sanitary  service  of  the  zone  of  the  advance  and  the  zone  of  the 
line  of  communications,  and  to  that  end  will  keep  continually  in 
touch  with  the  division  surgeons  and  the  surgeon,  base  group. 

(c)  Ho  will  make  recommendations  relative  to  the  adequacy  of 
the  table  of  maximum  and  minimum  supplies  to  be  maintained  in 
the  depots  on  the  line  of  communications.     (See  par.  782.) 
240 


ARTICLE  XVI.— RESUME  OF  THE  OPERATIONS  OF 
THE  SANITARY  SERVICE  IN  WAR. 


831.  Wlien  war  is  imminent,  the  Regular  Army  is  mobilized  at  its 
permanent  posts  or  stations  and  the  Organized  MiUtia  at  mobiUza- 
tion  camps.  Little  is  required  of  the  Medical  Department  at  the 
time  of  mobilization  in  connection  with  the  preparation  of  organiza- 
tions of  the  Regular  Army  for  active  service.  Field  equipment  is 
maintained  at  designated  stations  or  depots  in  readiness  for  service 
at  all  times;  the  men  of  the  Hospital  Corps  available  for  service  with 
line  organizations  and  with  the  sanitary  train  are  designated  in 
time  of  peace  and  are  in  readiness  to  join  their  respective  units.  The 
men  composing  the  line  organizations  have  been  given  thorough 
physical  examinations  which  have  been  made  of  record,  and  they 
have  been  vaccinated  against  smallpox  and  typhoid  fever.  Each 
man  is  equipped  AA^ith  a  first-aid  packet  and  has  been  instructed  in 
its  use.  So  far  as  the  Medical  Department  is  concerned,  therefore, 
these  troops  should  be  in  readiness  to  proceed  from  their  points  of 
mobilization  to  the  camps  of  concentration  on  short  notice. 

832.  Mobihzation  camps  for  the  Organized  Militia  are  provided 
in  each  State.  An  officer  of  the  Regular  Army  commands  each 
camp  and  has  on  his  staff  a  camp  surgeon,  usually  a  medical  officer 
of  the  Regular  Army.  Mobihzation  camps  are  operated  under  the 
control  of  department  commanders,  who  are  responsible  for  the 
complete  preparation  and  equipment  of  the  troops  which  assemble 
there.  The  work  of  the  Medical  Department  at  these  camps  is  super- 
vised by  the  department  surgeon  and  the  sanitary  inspector  of  the 
department.  The  camp  surgeon  is  provided  Math  an  adequate  corps 
of  assistants.  Physical  examinations  of  troops  mobilized  are  made 
and  recorded  in  accordance  with  specific  instructions  from  the  War 
Department.  Vaccinations  agamst  smallpox  and  typhoid  fever  are 
administered  and  records  made  thereof.  Individuals  and  organiza- 
tions are  furnished  such  portions  of  their  equipment  as  pertain  to  the 
Medical  Department;  and  such  training  in  sanitary  matters  is  given 
both  the  fine  troops  and  the  sanitary  troops  as  is  possible,  and  appro-' 
priate  to  each  (par.  594).  When  for  any  reason  it  is  impracticable  to 
fully  prepare  individuals  and  organizations  for  service  at  the  front, 
so  far  as  this  preparation  devolves  upon  the  Medical  Department, 
the  camp  surgeon  wiU  furnish  a  full  report  to  the  department  surgeon 

93440°— 17 16  241 


242  MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

showing  what  remains  to  be  done  in  order  that  the  latter  may  take 
the  necessary  steps  to  have  the  preparation  of  such  individuals  and 
organizations  completed  at  the  eamp  of  concentration. 

833.  After  mobilization,  equipment,  and  preUminary  training, 
the  troops  are  assembled  at  concentration  camps  for  immediate  use 
against  the  enemy  or  for  transport  to  an  over-sea  theater  of  opera- 
tions. At  camps  of  concentration  the  general  mstruction  and  train- 
ing of  line  and  sanitary  troops  in  connection  with  the  work  of  the 
sanitary  service  is  conducted  under  the  direction  of  the  camp  surgeon. 

834.  On  leaving  camps  of  concentration,  troops  pass  from  the  serv- 
ice of  the  interior  to  the  theater  of  operations,  where  they  come  under 
the  control  of  the  commander  of  the  field  forces.  They  may  pass 
directly  into  the  zone  of  the  advance  or  they  may  traverse  the  zone 
of  the  hue  of  communications  before  reaching  the  zone  of  the  advance, 
or  they  may  be  assigned  to  duty  on  the  hne  of  communications. 
In  the  latter  case  they  may  be  assigned  either  to  the  service  of  defense, 
to  the  supply,  sanitary,  and  telegraph  service,  or  to  the  service  of 
miUtary  railways.  The  relations  and  duties  of  the  sanitary  personnel 
in  this  zone  aio  described  in  paragraphs  751  to  827. 

835.  The  sanitary  service  of  the  zone  of  the  advance  is  treated  in 
detail  in  paragraphs  630  to  750.  The  purpose  of  the  service  in 
camp,  on  the  march,  and  in  combat  is  to  render  temporary  aid  to  the 
sick  and  wounded  and  to  expedite  their  transportation  to  the  rear, 
always  making  such  disposition  as  will  secure  the  retention  at  the 
front  of  all  men  fit  for  duty  and  relieve  the  fighting  force  of  the 
impediment  incident  to  the  presence  of  men  incapacitated  for  duty. 
To  that  end  the  service  of  the  advance  is  assisted  by  the  service  of 
the  line  of  communications,  if  one  has  been  organized;  otherwise 
directly  by  the  service  of  the  interior.  In  either  event  it  cooperates 
with  the  advance  station  of  the  service  in  its  immediate  rear.  When 
battle  is  imminent,  the  resources  of  the  sanitary  service  behind  the 
zone  of  the  advance  are  placed  in  readiness  to  meet  the  demands  for 
the  care  and  transportation  of  the  wounded  which  may  reasonably  be 
expected,  and  personnel  and  supplies  are  advanced  as  near  the 
seat  of  operations  as  practicable,  reaching  forward  into  the  zone  of 
the  advance  if  conditions  warrant  it. 

836.  The  troops  engaged  in  combat  are  accompanied  by  medical 
officers  and  Hospital  Corps  attendants;  ordinarily  a  meidical  officer 
with  a  detachment  of  Hospital  Corps  men  accompanies  each  bat- 
tafion  into  combat,  and  the  surgeon  of  each  regiment  with  the  equip- 
ment carried  on  a  pack  mule  (par.  866)  establishes  an  aid  station. 
The  wounded  apply  their  own  first-aid  dressings,  if  practicable,  and 
the  sanitary  personnel  attached  to  organizations  render  first  aid  as 
soon  as  possible.  The  sanitary  personnel  with  each  battahon 
collect  the  wounded  in  groups  and  transport  those  who  are  unable 


RESUME  OF  OPEKATIONS  OF  SANITARY  SERVICE  IN  WAR.  243 

to  walk  to  the  regimental  aid  station.  Men  with  trivial  wounds  are 
sent  back  to  their  commands  when  their  wounds  are  dressed,  and 
those  slightly  wounded  but  able  to  walk  are  directed  to  the  station 
for  slightly  wounded  several  miles  in  the  rear,  in  order  that  dressing 
stations  and  field  hospitals  may  not  be  unnecessarily  congested  by 
the  presence  of  this  class  of  men. 

837.  At  the  aid  stations  the  sanitary  service  with  troops  connects 
with  the  service  of  the  sanitary  train.  Each  ambulance  company 
establishes  a  dressing  station  in  a  protected  location  usually  some 
distance  in  rear  of  the  aid  station.  The  dressing  stations  send  for- 
ward bearers  to  remove  the  wounded  who  have  been  brought  in  to 
the  aid  stations.  At  the  dressing  stations  light  nourishment  is  pro- 
vided, dressings  are  examined  and  adjusted  or  reapplied,  as  conditions 
may  require,  and  the  patients  who  require  transportation  are  made 
as  comfortable  as  possible  until  it  is  practicable  to  transport  them 
to  the  rear,  usually  to  the  field  hospitals.  Wlienever  possible  the 
dressing  stations  are  so  located  that  they  can  be  reached  by  wheel 
transportation,  and  the  wounded  are  sent  to  the  field  hospitals  in 
ambulances. 

838.  The  field  hospitals  do  not  perform  the  functions  of  civil  hos- 
pitals or  of  base  or  general  hospitals,  in  that  their  equipment  is 
limited  to  those  things  necessary  to  provide  shelter,  nourishment, 
and  emergency  treatment  for  patients  until  they  can  be  transferred 
to  the  immobile  units  at  the  rear.  At  the  field  hospitals  no  beds  or 
cots  are  provided.  The  patients  are  placed  on  straw  over  which 
blankets  are  spread.  The  service  of  the  zone  of  the  advance  con- 
trolled by  the  division  surgeon  terminates  with  the  field  hospitals. 
The  units  of  the  line  of  communications  pushed  for^^ard  into  the 
zone  of  the  advance  (par.  825)  relieve  the  field  hospitals  of  their  sick 
and  wounded  as  rapidly  as  possible. 

839.  One  of  the  evacuation  hospitals  held  in  readiness  at  the  head 
of  the  line  of  communications  will  ordinarily  receive  the  patients 
from  the  field  hospitals.  In  some  cases  an  evacuation  hospital  is 
pushed  forward  and  takes  charge  of  the  patients  at  the  location  of  the 
field  hospital;  in  other  cases  transportation  from  the  advance  section 
of  the  line  of  communications  is  sent  forward  to  the  field  hospital  to 
receive  the  patients,  and  in  many  cases  the  wagons  going  to  the  rear 
for  supplies  wiU  transport  the  patients  back  to  the  refilling  point 
where  they  will  be  turned  over  to  the  wagons  sent  forw^ard  from  the 
advance  section.  The  evacuation  hospital  is  the  first  sanitary  unit 
in  which  provision  is  made  to  retain  patients  for  any  length  of  time. 
It  is  equipped  with  cots,  blankets,  and  a  liberal  supply  of  comforts 
for  the  sick,  but  ordinarily  the  evacuation  hospitals  wiU  be  cleared 
of  patients  as  early  as  practicable  in  order  that  they  may  be  ready 
to  receive  others  from  the  front.     The  patients  are  usually  sent  back 


244  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

by  trains  or  boats  to  the  base  hospitals  where  all  possible  comforts 
and  facilities  for  their  care  are  provided.  All  sick  and  wounded  who 
will  be  able  to  return  to  dut}^  within  a  reasonable  time  will  bo  retamed 
m  these  hospitals  rather  than  turned  over  to  the  service  of  the  inte- 
rior. Patients  who  no  longer  need  medical  attention  are  placed  in 
convenient  camps  operated  in  connection  with  the  base  hospitals  until 
they  regain  sufficient  strength  to  return  to  their  commands.  The 
base  is  the  great  center  of  medical  activity  of  an  army.  Personnel 
and  supplies  intended  for  the  Army  are  accumulated  here  and  sent 
forward  as  required.  The  sick  and  wounded  are  sent  back  to  the 
base  and  cared  for.  Records  of  both  supplies  and  personnel  are  kept 
at  the  base,  and  such  abstracts  and  tabulations  as  the  chief  surgeon  of 
the  field  army  may  require  from  time  to  time  are  made  here  and  sup- 
plied to  him. 

840.  The  losses  at  the  front  are  being  constantly  replaced  by  men 
sent  forward  through  the  channels  above  described.  New  recruits 
are  sent  to  the  mobilization  camps  where  they  are  equipped  and  driUed 
and  pushed  forward  to  meet  the  demands  in  the  zone  of  the  advance, 

841.  Supplies  furnished  by  the  Medical  Department  for  troops  at 
the  front  are  ordinarily  obtained  from  the  supply  depot  at  the  head 
of  the  line  of  communications  on  requisitions  approved  by  the  divi- 
sion surgeon.  Each  sanitary  formation  may  make  its  own  requisition, 
and  its  supplies  may  be  sent  forward  from  the  advance  section  to  the 
refilling  pomts  where  the  transportation  furnished  by  the  line  of  com- 
munications turns  over  the  supplies  to  the  transportation  sent  back 
from  the  divisional  organizations.  The  stream  of  supphes  coming 
foi-ward  consisting  of  rations,  clothing,  and  ammunition  is  constant, 
and  ample  opportunity  is  afforded  to  bring  up  the  articles  required 
by  the  sanitary  service  with  the  other  supplies.  Wlien  found  to  be 
more  convenient  the  regimental  sanitary  supplies  may  be  replenished 
from  camp  infirmaries  or  from  the  supplies  carried  by  ambulance  com- 
panies, these  latter  making  requisitions  for  the  supphes  which  they 
require.  The  supply  depot  at  the  advance  section  draws  its  supplies 
from  the  depot  at  the  base,  the  stock  of  which  is  automatically  main- 
tained by  the  service  of  the  interior. 


PART  III. 
SUPPLY  TABLES. 

[The  names  of  expendable  articles  are  printed  in  roman  type,  and  nonexpendable  in  italic] 


245 


ARTICLE  XVII.— POST  SUPPLY  TABLES. 


842.  In  computing  the  official  population  entitled  to  medicines  at 
a  station  the  nearest  round  number  in  the  supply  table  is  to  be  taken 
and  requisitions  made  accordingly.  If  a  post  contains  a  population 
of  more  than  1,000,  the  requisition  should  caU  for  the  allowance  of 
expendable  articles  for  1,000  plus  that  for  the  excess  over  1,000. 
Articles  furnished  to  dental  surgeons  under  the  provisions  of  para- 
graph 491  are  indicated  by  an  asterisk  (*)  before  each  item. 

843.  MEDICINES,  ANTISEPTICS,  AND   DISINFECTANTS. 


Articles.' 


Allowance  for  1  year  for  posts  having 
offieial  population  of — 


100       200       400       600       800     1,000 


Acacia,  powder,  1  pound,  in  wide-mouth  bottle bottles. . 

Acetanilidum,  i  pound,  in  wide-mouth  bottle do 

Acetphenetidinum  (Phenacetin),  i  pound,  in  wide-mouth  bot- 
tle  bottles. . 

Acidum  aceticum,  j  pound,  in  glass-stopper  bottle do 

Acidum  boricum,  powder,  J  poimd,  in  wide-mouth  bottle  .  -do — 

Acidum  citricum,  J  poimd,  in  wide-mouth  bottle do 

Acidum  hydrochloricum,  A  poimd,  in  glass-stopper  bottle do 

Acidum  nitricum,  J  pound,  in  glass-stopper  bottle do 

Acidum  oxalicum,  for  surgical  use,  i  pound,  in  wide-mouth  bot- 
tle   bottles . . 

Acidum  salicylicum,  3  ounces,  m  wide-mouth  bottle do — 

♦Acidum  sulphuricum,  J  pound,  in  glass-stopper  bottle do — 

Acidum  sulphuricum  aromaticum,  J  pound,  in  glass-stopper  bot- 
tle  bottles. . 

*  Acidum  tannicum,  powder,  3  ounces,  in  wide-mouth  bottle,  do  — 

Acidum  tartaricum,|  pound,  in  wide-mouth  bottle do — 

Adeps  lanae  hydrosus,  i  pound,  in  wide-mouth  bottle do  — 

♦Adrenalin  chiorid,  1-mgm.  tablets,  20  in  tube tubes. . 

Aether,  J  pound,  in  tin tins.. 

*Aethylis  chloridum,  3  ounces,  in  metal  tube tubes. . 

♦Alcohol,  5  gallons,  in  bottle bottles. . 

Alcohol,  denatiu-ed.    (See  par.  845.) 

Aloe,  powder,  1  ounce,  in  bottle do — 

Alumen,  powder,  J  poimd,  ui  wide-mouth  bottle do — 

Ammonii  bromidum,  i  pound,  in  wide-mouth  bottle do — 

Ammonii  carbonas,  lumps,  i  pound,  in  wide-mouth  bottle. .  -do — 

Ammonii  chloridum,  i  pound,  in  wide-mouth  bottle do  — 

Amy  lis  nitrls,  5-drop  spirets,  12  in  bo.x boxes. 

Antimonii  et  potassii  tartras,  i  ounce,  in  bottle bottles. 

Apomorphinae  hydrochloridum,  6-mgm.  hypodermic  tablets,  20 

in  tube tubes . 

Aqua  ammoniae,  10  per  cent,  1  pound,  in  glass-stopper  bot- 

.  bottles. 


tie. 


♦Aqua  hydrogenii  dioxidi,  1  pound,  in  bottle,^  as  required. .  -do 

♦Argenti  nitras,  crystals,  1  ounce,  in  bottle do — 

Argenti  nitras  fusus,  1  ounce,  in  bottle do — 

Argyrol  (or equivalent) ,  1  ounce,  in  bottle do — 

Arsenitrioxidum,  1-mgm.  tablets,  250 in  bottle do... 

Asafoetida,  i  ounce,  in  bottle do — 

Aspirin,  1  ounce,  in  bottle do... 

Atropinae sulphas,  J'ounce,  in  bottle do... 

Atropinae  sulphas,  0.65-mgm.  hypodermic  tablets,  20  in  tube, 
tubes 


J  Official  drugs  appear  under  their  Latin  designations  as  given  in  the 
while  nonofficial  articles  are  listed  by  their  English  names, 
■i  To  be  asked  for  as  needed,  on  account  of  rapid  deterioration. 


3  I        4  1 
United  States 


3 
72 

8 
10 

9 

12 
(J 
8 

4 
3 

lU 

T) 

8 

lO.'i 

11 
7 

2 

3 
4 

14 
2 
2 

2 

20 


6  8 

Pharmacopoeia, 


247 


248  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

Medicines,  antiseptics,  and  disinfectants — Continued. 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     1,000 


Atropinae  sulphas, 0.13-mKm.  ophthalmic  disks,  50  in  tube.. tubes..         11111 
Balsamum  Teruvianum,  J  pound, in  wide-mouth  bottle.. bottles..         2  2  2  3  3 

Balsamum  tolutanum,  i  pound,  in  wide-mouth  bottle do 112  3  4 

Bismuth!  subcallas,  i- pound,  in  wide-mouth  bottle do 1112  2 

Bismuth!  subnitras,"*  pound,  in  wide-mouth  bottle do 2  2  3  3  3 

Caffeinacitrata,  4  ounce,  in  bottle do 4  4  4  8  8 

Calx  chlormata  (chlorinated  lime),  1  pound, in  zinc  container,!  as 

required pounds. . 

Camphora, powder,  J  pound,  in  wide-mouth  bottle bottles.. 

Capsicum,  powder,  J  ounce,  in  bottle do 

Cera  fiava,  in  \-pound  cake cakes. . 

Chloralum  hydratum,  1  ounce,  in  glass-stopper  bottle bottles.. 

♦Chloroformum,  i  poiuid,  in  tin tins . . 

Chrysarobinum,  J  ounce,  in  bottle bottles. . 

♦Cocainae  hydrochloridum,  J  ounce,  in  wide-mouth  bottle,  .do 

*Cocainae  hydrochloridum,  10-mgm.  h-vpodermie  tablets,  20  in 

tube tubes.. 

Codeinae  sulphas,  1  ounce,  in  bottle bottles. . 

♦CoUodium,  1  oujice,  in  bottle do 

Copaiba,  i,  pound,  in  wide-mouth  bottle do 

Creosotum,  1  ounce,  in  glass-stopper  bottle :  -do 

♦Cresol,  1  pound,  in  bottle do 

Creta  preparata,  J  pound,  in  wide-mouth  bottle do. 

Cupri  sulphas,  1  ounce,  in  bottle do. 

Digitalinum,  1-mgm.  hypodermic  tablets,  20  in  tube tubes. . 

*Emetinae  hydrochloridum,  22-mgm.  hj-podermic  tablets,  20  in 

tube,  as  required tubes.. 

Emplaslrum  belladonnae,  2  yards  by  6 inches,  in  tin tins.. 

Emplastrumcantharidis,  1  yard  by  6  inches,  in  tin do 

Emplaslrum  sinapis,  4  yards  by  flinches,  in  tin do 

Eucainae  hydrochloridum-B ,  1  ounce,  in  bottle bottles. . . 

Eucalyptof,  1  ounce,  in  bottle do 

Extrac-tum  belladomiae  foliorum,  1  ounce,  in  bottle do 

Extractum  glycyrrhizae  purum,  }  pound,  in  jar jars.. 

Extractum  hvoscvami,  1  ounce,  in  bottle bottles.. 

Extractum  rhamni  purshianae,  130-mgm.  tablets,  250  in  bottle, 

bottles 

Ferri  et  quininae  citras  solubilis,  3  ounces,  in  wide-mouth  bottle, 

bottles 

Ferri phosphas  solubilis,  1  pound,  in  bottle bottles.. 

Ferri  sulphas  exsiccatus,  }  pound,  in  wide-mouth  bottle do 

Fluidextractum  colchici  seminis,  1  ounce,  in  bottle do 

Fluidextraetum  ergotae,  i  pound,  in  bottle do 

Fluidextractum  ipecacuahhae,  i  poimd,  in  bottle do 

Fluidextractum  pruni  virginianae,  1  pound,  in  bottle do 

Fluidextractum  zLngiberLs,  i  pound,  in  bottle do 

Foot  powder  (par.  902),  i  pound,  in  tin  With  perforated  cover, ^  as 

required tins. . 

*Glycerinum,  1  pound,  in  bottle bottles. . 

Guaiacoliscarbonas,  i  pomid,in  bottle do 

Heroini  hydrochloridum,  in  5.5~nigm.  tablets,  500  in  bottle,  .do 

Herouii hydrochloridum ,  in  1-onnce  bottle do.... 

Hexamethvlenamina  (Urotropin),  1  ounce,  in  bottle do... 

Homatropinac  hydrobromidum,  15  grains,  in  bottle do 

Hvdrargyri  chlofidura  corrosivum,  3  oimces,  in  bottle do 

Hydrargyri  chloridum  corrosii-um   (commercial),   1   pound,  in 

bottle ." bottles . . 

HydrargjTi  chloridum  corrosixiim,  tablets  (antiseptic)  (par.  902), 

250 in  wide-mouth  bottle bottles. . 

Hydrargyri  chloridum  mito,  32-mgm.  tablets,  250  in  bottle,  .do 

Hvdrargyri  chloridum  niite,(j.5-nigm.  tablets,  250  In  bottle,  .do 

HydrargJTi chloridum  mite,  2  ounces,  in  bottle do 

HydrargJTiiodidum  flavum,  10-mgm.  tablets,  250 in  bottle. do 

HydrargA-rioxidum  flavum,  1  ounce,  in  bottle do 

HydrargA-risalicvlas,  1  ounce,  in  bottle do 

Hyoscinae  hvdrobromidum,  0.(55-mgm.  hypodermic  tablets,  20  in 

tube ". tubes. . 

Ichthy olum,  3  oimces,  in  wide- mouth  bottle bottles. . 

lodurh,  1  ounce,  in  glass-stopper  bottle do 

Ipecacuanha,  powder,  3  ounces,  in  wide-mouth  bottle do 

Liquor  cresolis  compositus,  1  quart,  in  bottle do 

«  On  account  of  the  rapid  deterioration  which  chlorinated  lime  undergoes  it  should  be  asked  for  only  in 
anticipation  of  actual  needs. 

2  Allowed  on  basis  of  one  can  for  each  enlisted  man  of  organizations  of  foot  troops  to  carry  out  provisions 
of  General  Orders.    (See  Appendix:  Feet.) 


POST  SUPPLY   TABLES. 
Medicines,  antiseptics,  and  disinfectants— Contimied. 


249 


Articles. 


Allowance  for  1  year  for  posts  having 
olBcial  population  of— 


100 


1,000 


♦Liquor  forraaldehydi  (37i  per  cent),  1  quart,  in  bottle  '..bottles. 
Liquor  fornialdehydi  (37j'per  cent),  5  gallons,  in  jug  i ... .     -JUgs- 

Liquor  potassii  arsenitis,  J  pound,  in  bottle bottles. 

Lithii  citras  elTervescens,  32-t-mgm.  tablets,  25  iji  bottle do. . . 

Lvcopodium,  3  ounces,  in  wide-mouth  bottle - .  - -QO-  •  -  - 

Sfagnesii  carbonas,  powder,  2  ounces,  in    wide-mouth   bottle, 

bottles ■:■■• 

Magnesii  sulphas,  4  pounds,  in  tm ..tins. . 

Massa  hydrargyn,  3  oiuiees,  m  wide-mouth  bottle bottles. 

Menthol",  1  ounce,  in  wide-mouth  bottle .do. . . 

Methylis  salicvlas  (oil  of  wintergreen,  sj-nthetic),  1  ounce,  m  glass 

stopper  bottle bottles. . 

Morphinae  sulphas,  powder,  i  ounce ,  m  bottle .• " " r°.' " " 

*Morphinae  sulphas,  8-mgm.  hypodermic  tablets,  20  m  tube, 

tubes :  - 

Naphthaleuum pounds. . 

Neosalvarstm,  900  mgms.,  in  tube,  as  required tubes. 

Nitroglycerin,  0.65-mgm.  hypodermic  tablets,  20  in  tube do. .. 

♦Normal  saJme  solution  tablets  (par.  902),  100  in  wide-mouth 

I^Qttie  bottles. 

Oleoresinaaspidii,  1  ounce,  in  bottle do. . . 

Oleum  aurantiicorticis,  1  ounce,  in  bottle do 

Oleum  caryophylli,  1  ounce,  in  glass-stopper  bottle do 

Oleum  gossMJii  seminis,  1  quart ,  in  bottle do 

Oleum  menthae  piperitae,  1  oimce,  in  glass-stopper  bottle. .  .do 

Oleum  morrhuae,  1  pound,  in  bottle do 

Oleum  ricini,  1  quart,  in  bottle do 

Oleum  santali,  1  ounce,  m  glass-stopper  bottle do 

Oleum  terebinthinae  rectiflcatum,  1  quart,  in  bottle do 

Oleum  theobromatis, )  pound,  in  wide-mouth  bottle do 

Oleum  tiglii,  1  ounce,  in  bottle do 

Opiipulvis,  2  ounces,  in  wide-mouth  bottle do 

Pepslnum,3  ounces,  in  wide-mouth  bottle do 

Peptonizing  tablets  (par.  902),  125  in  wide-mouth  bottle do 

Petrolatum,  3  pounds,  in  tin -  -  •}^-  ■ 

Petrolatum liquidum,  1  pound,  in  bottle bottles.: 

*Phenol,  i  pound,  in  bottle do 

Phenolphthalein,  130-mgm.  tablets,  250  in  bottle do 

Phenylis  salicvlas  (Salol),  3  ounces,  in  wide-mouth  bottle. .  .do. . . . 
Phvsostigminae  sulphas,   0.0325-mgm.   ophthalmic  disks,  50  m 

tube  tubes. 

Pilocarpinae'hydrochioridum,  8-mgm.  hypodermic  tablets,  20  in 

t;ul3e tubes. . 

Pilulae    alo'ini '  compositae    (or     tablets)    (par.    902),    250    in 

Ijottle bottles. . 

Pilulae  catharticae  compositae  (or  tablets),  400  in  bottle do. . . . 

Pilulae    copaibae    compositae   (or   tablets)    (par.   902),   2oO  m 

bottle     . bottles. . 

Pilulae fe'rii  compositae  (or  tablets)  (par.  902),  80  in  bottle.. .do 

Plumbi  acetas,  6  ounces,  in  wide-mouth  bottle do 

Potassii  acetas,  6  ounces,  in  wide-mouth  bottle do 

Potassii  bicarbonas,  1  pound,  in  wide-mouth  bottle do 

Potassii  bromidum,  1  pound,  in  wide-mouth  bottle do 

Potassii  chloras,  powder,  1  pound,  in  wide-mouth  bottle do 

Potassii  chloras,  324-mgm.  tablets,  250  in  bottle do 

Potassii  et  sodii  tartras,  3  pounds,  in  tin -  -  -^J^-  ■ 

Potassii  hvdroxidum,  1  ounce,  in  glass-stopper  bottle bottles. . 

Potassii  iodidum,  ^  pound,  in  wide-mouth  bottle do j 

Potassii  permanganas,  1  pound,  in  wide-mouth  bottle  ' . . . ..ao 

Protargol  (or  equivalent),  1  ounce,  in  bottle .".do. .  . 

Pulvis  glycyrrhizae  compositus,  i  pound,  in  wide-mouth  bot- 
tjg  bottles.. 

Pulvis  ipecacuanhae  et  opii,  j  pound,  in  wide-mouth  bottle,  .do 

Quininae    hydrochlorosulphas,    32-mgm.    hypodermic    tablets, 
20  in  tul>e ;  • ;  -  "A-,  •  •  "i  'fPi^^ ' ' 

Quininae  sulphas,  crystals,  1  ounce,  in  wide-mouth  bottle.,  bottles. . 

Quininae  sulphas,  200-mgm.  tablets,  500  in  wide-mouth  bot- 

^tie bottles. . 

Resina  podophylii,  *  ounce,  in  bottle do 

•   Rheum,  powder,  2  ounces,  m  wide-mouth  bottle do 

Saccharum  lactis,  powder,  3  ounces,  in  wide-mouth  bottle,  .do 

iFor  generating  formaldehyde  gas,  1  pmt  formaldehyde  s«lf  io^^'  1  PO"^*  P^t^f^^^^if,  Pf„SXto 
and  i  pmt  water  should  be  mLxed  in  a  deep  container  (e.  g. ,  a  close  stool j .  This  quantity  is  adequate  lor 
1,000  cubic  feet  of  air  space. 


10 

1 

7 

8 

24 

5 

4 

20 

10 

14 

3 

1 

1 

4 

1 

16 

18 

24 

18 

6 

1 


8 

10 

12 

10 

12 

14 

5 

6 

7 

S 

12 

12 

2 

3 

3 

4 

5 

6 

4 

5 

6 

4 

4 

4 

4 

6 

6 

4 

6 

8 

6 

8 

10 

20 

30 

40 

22 

26 

30 

2 

4 

4 

4 

5 

' 

8 

10 

12 

10 

12 

14 

10 

12 

14 

2 

3 

3 

1 

2 

2 

3 

3 

1    4 

250  MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 

Medicines,  antiseptics,  and  disinfectants — Continued. 


Articles. 


Salvarsan,  fiOO  mgms.  in  tube,  as  required tubes.. 

Santoninum,  3L'-ni};m.  tablets,  250  in  bottle bottles.. 

Sapo  mollis  (green  soap),  1  pound,  in  jar jars.. 

Serum  antidipht hericum  • 

Serum  ant imeniniiit idis  i 

Serum  ant  itctaniciun  ' 

Sodiibicarbona.s,  1  pound,  in  wide-mouth  bottle bottles.. 

Sodii  bicarbonas  et  mentha  piperita,  tablets  (par.  902),  400  in 

bottle bottles. . 

Sodii  boras,  powder,  1  pound,  in  wide-mouth  bottle do 

Sodii  bromidum,  6  oimces,  in  wide-mouth  bottle do 

*Sodii  carljonas  monohydratus,  for  surgical  use,  1  potind,  in  wide- 
mouth  bottle bottles. . 

Sodii  tluoridum,  5  pounds,  in  package packages. . 

Sodii  phosphas  exsiccatus,  powder,  3  ounces,  in  wide-mouth 

bottle bottles. . 

Sodii  salicylas,  6  ounces,  in  wide-mouth  bottle do 

Spiritusaetheriscompositus,  ^  pound,  in  glass-stopper  bottle. do 

Spiritus  aetheris  nitrosi,  h  pound,  in  glass-stopper  bottle do 

*Spiritus  ammoniae  aromaticus,  J  pound,  m  glass-stopper  bot- 
tle   bottles. . 

Spiritus  frumenti,  1  quart,  in  bottle do 

Spiritus  glycerylis  nitratis,  1  ounce,  in  glass-stopper  bottle. .  .do 

Strvchnmae  sulphas,  1-mgm.  hypodermic  tablets,  250  in  bot- 
tle   botties. . 

Sugar,  white,  12  pounds,  in  can can.s. . 

Sulphur,  in  roll potnids . . 

Stilphur  lotum,  i pound,  in  wide-mouth  bottle bottles.. 

Syrupus  forri  iodidi,  i  potmd,  in  bottle do 

Syrupus  h>T5ophosphitum  compositus,  1  pound,  in  bottle. .  .do 

Syrupus  scillae,  1  poimd,in  bottle do 

Talcum,  2  poimds,  in  screw-top  tin tins. . 

Thymol,  1  otuice,  m  bottle bottles . . 

♦Thymolis  iodidum  (.Vristol),  1  ounce,  in  bottle do 

♦Tiiictura  aconiti,  1  ounce^  in  bottle do 

Tinctura  benzoini  composita,  J  poimd,  in  bottle do 

Tincturacantharidis,  -J-  pomid,in  bottle do 

Tinctura  capsici,  i  pound,  in  bottle do 

Tinctura  ciuchonae  composita,  1  pound,  in  bottle do 

Tinctura  digitalis,  ^  poimd,  in  bottle do 

Tinctura  ferri  chloridi,  1  poimd,  in  glass-stopper  bottle do 

Tinctura  gentianae  composita,  1  poimd,  in  bottle do 

Tinctura  myrrhae,  i  pound,  in  bottle do 

Tmctura  nucis  vomicae,  J  poimd,  in  bottle do 

Tinctura  opii,  1  pound,  hi  bottle do 

Tinctura  opii  camphoiata,  1  pound,  in  bottle do 

Tinctura  strophantlii,  1  ounce,  in  bottle do 

Trochisci  ammonii  chloridi,  125  in  bottle do 

Unguentum  hydrargyria  ^  jjound,  in  wide-mouth  bottle do 

Unguentum  hydrargyn  chloridi  mitis,  30  per  cent,  2  pounds,  In 

jar jars. . 

Vaccine,  smallpox,^  as  required units. . 

Vaccine,  typhoid,^  as  required c.  c . . 

Vaccines,  special  s c.  c. . 

Veronal,  324-mgm.  tablets,  250  in  bottle bottles. . 

Zinci  oxidum,  i  pound,  in  wide-mouth  bottle do 

Zinci  sulphas,  J  pound,  in  wide-mouth  bottle do 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     1,000 


1  Upon  the  appearance  of  a  case  requiring  antitoxin  the  surgeon  may  purchase  locally  such  quantity  as 
he  may  need  for  immediate  use.  Further  supplies,  estimated  as  necessary,  will  be  procured  bv  telegram, 
sent  direct  to  the  officer  in  charge  of  the  supply  depot  nearest  the  post  or  station.  Quantities  to  meet  the 
contingencies  of  a  possible  epidemic  should  l)e  asked  for  and  supplementary  requests  made  as  the  necessity 
arises.  Request  should  lie  made  for  containers  holding  so  many  units,  e.  g.,  5  tubes  of  1,000  units,  3  tubes 
of  5,000  units,  etc.  A  report  of  these  requests  will  be  made  to  the  Surgeon  General  through  the  deinirt- 
ment  surgeon.  Careful  scrutiny  of  the  time  limit  placed  on  the  package  should  be  made  and  the  unused 
quantit  ies  should  be  returned  to  the  supply  officer  from  whom  they  were  received  immediately  upon  the 
estal)lishment  of  the  fact  that  they  are  no  longer  needed,  in  order  that  they  may  be  returned  to  the  dealer 
and  credit  be  secured  to  the  department. 

f  Smallpox  vaccine  will  bo  asked  for  by  letter  addressed  to  the  department  surgeon.  T>'phoid  vaccme- 
will  be  asked  for  by  letter  addressed  to  the  Surgeon  General  through  the  department  surgeon.  On  account 
of  the  liability  of  tlicsc  jircjdurts  to  becoiiie  inert  they  will  lie  askeii  lor  unlv  in  such  iiuaiuities  as  are  needed 
for  early  use.    In  requiring  for  tjT^hoid  vaccine  state  the  size  of  the  ampiil  wanted. 

s  Streptococcus,  staphylococcus,  staphylococcus-acne  and  gonococcus  vaccines  are  furnished  from  the 
Army  Medical  School  on  special  request. 


844. 


POST   SUPPLY   TABLES. 
STATIONERY. 


251 


Articles. 


*Bands,  elastic,  of  the  following  sizes:  Tliread  bands,  l|-ineh. 
2-inch,  2-1-inch,  and  3-ineli;  heavy  bands,  i  by  2J  inches  and 

J  by  3  inches  (sizes  desired  to  be  stated),  as  required dozen.. 

Baskets,  lettiT number. . 

Baskets,  waste  paper do 

Binder,  loose-leaf ,  for  medical  history  of  post  (see  par.  412) do 

Blank  forms  (see  pars.  960  to  965). 

*Blotters,  hand do 

Books,  blank,  crown  (cap),  250  pages do 

*Books,  blank,  Svo,  150  pages do 

Books,  prescription  (see  par.  240) do 

Cups,  sponge do 

Envelope  openers « do 

Envelopes,  oflicial,  large do 

♦Envelopes,  olRcial,  letter do 

♦Envelopes,  official,  note do 

Erasers,  rubber,  pencil do 

♦Erasers,  rubber,  typewriter do 

Erasers,  steel do 

Files,  Shannon  (for  clinical  histories);  as  requited do 

*Ink,  black,  powder  or  tablets  (suthcient  m  box  for  1  quart  of 

fluid) boxes. . 

*InK,  red,  2  ounces  in  bottle bottles. . 

Inkstands. number. . 

Labels,  for  dispensing  set,  as  required do 

Labels,  for  vials gross. . 

Labels,  poison,  assorted do 

Pads,  desk niunber. . 

Pads,  ink,  for  stamps do 

♦Pads,  prescription dozen. . 

♦Paper,  blotting,  for  desks quires. . 

♦Paper,  blotting,  small  pieces  for  hand  blotters pieces. . 

Paper,  carbon,  cap,  100  sheets  in  box boxes. . 

♦Paper,  carbon,  letter,  100  sheets  in  box do 

♦Paper  fasteners do 

Paper,  manifolding,  cap,  250  sheets  in  package packages.. 

Paper,  manifolding,  letter,  500  sheets  in  package do 

♦Paper,   manifoldmg,    letter,    perforated,    500   sheets   in    pack- 
age  packages. . 

Paper,  typewriter,  cap,  250  sheets  in  package do 

♦Paper,  typewriter,  letter,  500  sheets  in  package do 

Paper  weights number. . 

♦Paper,  writing,  letter quires. . 

♦Paper,  writing,  note do 

Paper,  writing,  note,  100  sheets  in  pad pads. . 

♦Paste,  photo,  and  library jars.. 

♦Pencils,  lead number. . 

♦Penholders do 

Penracks do 

♦Pens,  steel gross. . 

Punch,  perforating number. . 

Rulers do 

Stamp,  penalty,  rubber do 

Stamps,  rubber,  as  required do 

Tape,  office,  red spools. . 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     1,000 


2 
2 
1 

2 
2 
1 
1 

2 

2 

200 

600 

100 

2 

2 

2 


3 

2 

1 

2 

2 

200 

600 

100 

2 

2 

2 


1 
1 

1 
1 

1 

1 

2 

2 

6 

8 

3 

3 

12 

1« 

2 

4 

24 

24 

3 
3 
1 

3 

4 

3 

1 

3 

3 

200 

SOO 

200 

3 

3 

3 


4 

4 

300 

800 

200 

4 

4 

4 


300 

1,000 

300 

5 


5 

300 

1,000 

300 

5 

5 

5 


252  MANUAL   FOR   THE   MEDICAL  DEPABTMENT. 

846.  MISCELLANEOUS   SUPPLIES. 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


400 


600 


800     1,000 


Alcohol,  denatured,  5  gallons  in  bottle,  as  required bottles. . 

Apparatus,  compressed  air  (par.  903),  as  required number. . 

Apparatus,  ehctric^ do 

Apparatus  for  administration  o/saZvarsan, as  required do 

Apparatus,  restraint  (par.  904) do 

Applicators  for  throat,  metal do 

Applicators  for  throat,  wood gross. . 

Aprons,  cook's number.. 

Atomizers,  hand do 

Bag,  obst(trical  ( par.  905) do 

Bags,  rubber,  hot  water do 

Bags,  rubber,  ice,  for  head do 

Bandages,  flannel,  3-inch  roller dozen. . 

Bandages,  gauze,  roller,  assorted,  in  boxes  of  6  dozen boxes. . 

Bandages,  rubber,  Martin number. . 

Bandages,  suspensory dozen . . 

Bandage  winder  ^ number. . 

Bars,  mosquito do 

Basinsfor  sponges,  etc.,  white  enamel do 

Basin,  dtlft,for  office do. . . 

*Baains,  hand,  white  enamel do . . . 

Basins,  White  enamel,  for  operating  room do. . . 

Baskets,  laundry do. . . 

Bath  bricks do. . . 

Bath,  robes  (gowns,  convalescent) do. . . 

Bed  cradles do... 

Bedpans,  white  enamel do. . . 

Bedsteads,  white  enamel do. . . 

Bells,  call do. . . 

Benzin,  1  quart,  in  bottle,^  as  required bottles . 

Blankets,  white number.. 

Blowers  for  iiisect  powder do 

Boiler,  cotiee,  11^  quart,  enamel  or  tin do 

Boilers,  coffee,  6-quart,  enamel  or  tin do 

Boiler,  double,  for  cooking,  11-quart do 

Boilers,  double,  for  cooking,  i-quart do 

Boilers, instrument do 

Boilers,  tin,  copper  bottom do 

Bookcases,  as  required do 

Bottles,  4-quart,  glass  stopper,  for  antiseptic  solutions do 

Bougies,  flexible,'^  as  required do 

Bout,  chopping do 

Bowls,  soup,  delft do 

Bowls,  sugar,  with  lid do 

Boxes,  folding,  for  tablets dozen . . 

Boies, fracture, folding number. . 

Boxes,  ointment,  impervious dozen. . 

Boxes,  pill do 

Boxes,  powder do 

♦Brooms,  com number. . 

Brooms,  hair,  long  handle,  for  floors do 

♦Brooms,  whisk do 

Brushes,  hair,  counter  (brushes,  hair ,  fen  floors) do 

♦Brushes,  hand,  fiber do 

Brushes,  paint do 

Brushes,  scrubbing do 

Brushes,  shaving do 

Brushes,  stove  blacking do 

Brushes,  weighted,  for  polishing  floors do 

Brushes,  weighted,  for  polishing  floors, extra  brushes  for, as  lequired, 
number 


Buckets,  covered,  metal,  7-quart number. 

Buckets,  fiber do 

Buckets,  galvariized-iron do 

Cabinet,  metal,  for  blanks  and  documents do 

Cabinet,  metal,  for  blanks  and  documents,  extra  sectiems  for ,  as  re- 
quired   number . 

Cabinets  for  dressings  and  instruments,  large  (approximately:  cab- 
inet 42  by  36  by  16  inches;  stand  24  inches  high) number. . 


144 
1 
1 
3 
1 
1 
1 
2 


192 
2 
1 
3 
1 


1 

72 

6 

60 

2 

60 

100 

60 

36 

6 

2 

10 

35 

2 

24 

2 

4 

6 


>  When  the  chlorid  of  silver  dry  cells  become  exhausted,  request  should  be  made  to  have  them  sent  to 
depot  for  recharging.  The  thumbscrews  holding  them  in  place  in  the  battery  should  always  accompany 
cells  sent  for  recharging. 

'■i  Used  for  making  bandages  of  any  width  desired  from  unbleached  muslin,  in  lieu  of  muslin  bandages 
formerly  issued  by  the  box. 

"  Benzin  of  a  specific  gravity  not  greater  than  0.724  will  be  issued  as  required  for  use  with  the  thermo- 
cautery, Paquelin's. 

*  The  French  scale  will  be  used  in  giving  the  sizes  of  bougies. 


POST  SUPPLY   TABLES. 
Miscellaneoiis  supplies — Continued. 


253 


Articles. 


Cabinets,  for  dressings  and  instruments,  small  (approximately: 
cabinet  40  by  24  by  16  iuches;  stand  24  inches  high) . . .  .number. . 

Cabinets  for  medicines,  ward do 

Can  openers do 

Caps,  for  cooks do 

Capsules,  gelatin,  100  in  box,  sizes  00,  0,  1,  2,  3,  4  (state  size  re- 
quired)   boxes.  - 

Case,  aspirating  (par.  910) number. . 

Case,  dental  (par.  911) do 

Case,  ear,  nose,  and  throat  (par.  912) do 

Cases,  emergency  (par.  913) : do 

Case,  eye  (par.  914) do 

Cases,  forceps,  hemostatic  (par.  915) do 

Case,  general  operating  (par.  916) do 

Case,  genito-unnary  (par.  917) do 

Case,  gynecological  (par.  918) do 

Case,  pocket  (par.  923) do 

Case,  post-mortem  (par.  924) do 

Case,  tooth-extracting  (par.  925) do 

Case,  trial  lenses  (par.  920) do 

Catheters,  fiexible,'^  as  required do 

Chairs,  arm do 

Chairs,  common do 

Chairs,  invalid,  rolling do 

Chairs,  office,  revolving do 

Chairs,  rocking do 

♦Chamois  skins do 

Charts,  anatomical sets. . 

Chest,  tool.  No.  1  (par.  937) number. 

Cleaver do . . . 

Clocks do . . . 

Close  stools.    (See  Pails,  commode.) 

Clothesline,  manila yards. 

Colanders number. 

Cork  extractors do . . . 

Cork  presser do . . . 

Corks,  long  taper,  sizes  2, 3,  4, 5,  and  10  (sizes  desired  to  be  stated), 
dozen 


Corkscrews number. . 

*Cotton,  absorbent,  in  roll pounds.. 

Cotton  bats do 

Crinolin  (stenta-book),  6-yard  pieces pieces. . 

Cruets,  vinegar  and  oil number . . 

Crutches .pairs. . 

Crutches,  rubber  tips  for,  No.  16,  J-inch;  No.  18,  f  inch;  No.  19, 

|-inch  (state  size  desired) number. . 

Cups do — 

Cups,  drinking,  paper,  as  required do 

Cups,  feeding do — 

Cups,  spit,  white  enamel do 

Cups,  spit,  paper,  as  required do 

Cups,  spit,  paper,  metal  frames  for do 

Curettes,  as  required do 

Cushions,  rubber,  small do 

Cushions,  rubber,  open  center do 

Cushions,  surgical,  Kelly's do 

Cuspidors do 

Desks,  office do 

Dippers do — 

Dishes,  meat,  assorted do  — 

Dishes,  pickle do 

Dishes,  soap,  with  covers,  for  office do 

Dishes,  vegetable do — 

Dispensing  set  (par.  942),  as  required sets.. 

Egg  beaters number. . 

Eye  shades,  single  or  double do  — 

Fans,  palm-leaf do — 

First-aid  packets  (par.  944), 2  as  required do 

First-aid  packets  for  Instruction  (par.  945) do, — 

First-aid  packets  for  shell  wounds  (par.  946)  (for  Coast  Artillery 

stations),  as  required number. , 

Floor  polisn,  or  brightener,  1  gallon,  in  can cans. 

Floor  wax,  2  pounds,  in  can do 

Forceps,  needle number. . 

1  The  French  scale  will  be  used  in  giving  the  sizes  of  catheters. 

2  For  issue  as  a  part  of  the  individual  equipment  of  line  troops, 
troops  are  given  in  the  Field  Supply  Tables. 


Allowance  for  1  year  for  posts  having 
official  population  of— 


100      200       400      600      800     1,000 


8 
24 
2 
3 
4 
6 
1 
1 
1 
5 

60 
1 
2 
1 

144 

2 

36 

10 

2 
3 
6 

12 
40 


216 
3 


48 


2 
1 

2SS 
3 

60 
14 
4 


60 


12 


320 


3 

2 

30 

70 
1 
1 
1 
3 
1 
2 
1 
1 
1 
1 
1 
1 
1 


20 
60 
4 
5 
7 
8 
1 
1 
1 
8 

90 
2 
2 
1 

360 
3 
72 
16 
6 
4 


2 
8 
12 

"400 


8  10 

16  20 

2  I  2 


The  allowances  for  field  use  by  sanitary 


254 


MANUAL    FOR    THE    MEDICAL   DEPARTMENT. 
Miscellaneous  supplies — Continued. 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     1,000 


4 
2 
3 
3 
300 


4 
2 
3 
3 

500 


6 
3 
6 
6 
900 


6 
3 
6 
6 
1,300 


Forks,  carving number. . 

Forks,  flesh do. . . . 

Forks,  table,  silver-plated do — 

Freezers,  ice-cream,  as  required do — 

Funnels,  glass,  25  c.  c do 

Funnels,  glass,  250  c.  c do 

Funnels,  glass,  500  c.  c do 

Funnels,  glass,  1,000 c.  c do    . . 

Gauze,  plain -  - ■  -  - .  -yards  . 

Gloves,  rubber,  light,  medium,  heavy,  and  medium  rough,  sizes  and 

numbers  as  required pairs . . 

Glue,  liquid,  in  small  commercial  tins tms. . 

Gowns,  operating number. . 

♦Graduates,  glass,  10  c.  c , do — 

Graduates,  glass,  100  c.  c do. . . . 

Graduates,  glass,  250  c.  c do — 

Graduates,  glass,  500  c.  c do — 

Graduate,  glass,  1,000  c.  c do. . . . 

Graters,  large do 

Graters. small do 

Gravy  Doats do — 

Gridirons do — 

Grindstone,  kitchen,  complete,  10-inch do. . . 

Hand  grenades do — 

jjones  do — 

Hose,  rubber 'i-i'nch,  in  BO-foot  lengths,  as  required lengths. 

Hose,  nozzles  for number. 

Hose,  reel  cart  for do — 

Inflator,  Politzer's do. . . 

Inhaler,  chloroform,  with  drop  bottle do 

Inhaler,  ether do — 

Irrigators,  stand  for do — 

Irrigators,  Valentine's do — 

Jars,  large,  for  dressings,  etc do — 

Jars,  small,  covered,  for  sut'dres,  etc do — 

Kettle,  crou.p do. . . 

Kettles,  tea do . . . 

Knife,  chopping do. . . 

Knives,  bread do. . . 

Knives,  butcher's h   " ' 

Knives,  carving do. . . 

Knives,  table,  silver-plated do. . . 

Ladder,  step do . . . 

Ladles .---- do... 

Lamps,  chimneys  for,i  as  required h  " " ' 

Lamps,  hand j°' '" 

Lamps,  shades  for,>  as  required do. . . 

Lamps,  spirit,  glass do. . . 

Lamps,  stand ' -  - .-  -  -  •  -do. . . 

Lamps,  wicks  for  (for  lamps  and  spirit  lamps),'  as  required..do. . . 

Lanterns,  complete -  - do. . . 

Lanterns,  e.xtra  globes  for,  white,  as  required do. . . 

Lanterns,  wicks  for,  as  required do. . . 

Lawn  mower do. . . 

Linoleum,^  as  required yards. 

Litters  with  slin^s^ number. 

Litters,  canvas  for,  as  required pieces. 

Litters,  tacks  for,  75  in  package,  as  requii-ed packages. 

Looking  glasses number. . 

Lye,  concentrated,  1  pound  in  can cans. . 

Mats,  door,  manila .* number. 

Mats,  door,  metal j*' " ' ' 

Mattress  covers do. . . 

Mattresses,  hair,  in  three  equal  parts do . . . 

Measures,  metal,  1-pint,  1-quart,  S-quart,  and  J^-quart sets. 

Meat  cutter number. 

*  Medicine  droppers dozen . 

Medicine  glasses number. 

Mill,  coffee •. do. . . 

Mops,  handlos  for do. . . 

Mops,  heads  for do. . . 

Mortars  and  pcsiles,  glass,  10  cm do. . . 

1  The  kinds  of  lamps  for  which  chimneys,  shades,  and  wicks  arc  desired  should  be  stated  on  requisit  ion.'*. 

2  Furnished  for  olhccs  and  di.spensary  and  in  l-yard  strips  for  halls  and  wards.    Requisitions  for  linoleum 
will  be  accompanied  by  an  estimate  of  t)ie  cost  of  i)urchasinK  it  at  or  near  the  post. 

>  One  litter  is  issued  to  rach  compnny  on  memorandum  receipt.     The  allowances  for  sanitary  troops 
on  field  service  are  given  in  the  Field  Supply  Tables. 


POST   SUPPLY   TABLES. 
Miscellaneous  supplies — Continued . 


255 


ArticlfiS. 


Allowance  for  1  year  for  pasts  having 
official  population  of^ 


Mortars  and  pestles,  Wedgwood,  8  cm number. . 

Mortars  and  pestles,  Wedgwood,  20  cm do 

Mortar  and  pestle,  Wedgwood,  SO  cm do 

Mosquito  bars.    (See  Bars,  mosquito.) 

Muslin,  unbleached yards. . 

Needle,  sailmakor's number.. 

Needles,  com,mon,  assorted papers. . 

Needles,  surgical,  assorted,  as  required number. 

Needles,  surgical,  Hagedom's,  20  in  set      sets . 

Needle,  upholsterer's number. . 

Oil  can  with  pump,  5  gallons do. . 

Oilcloth,  for  table yards 

Ophthalmoscope number. . 

Pails,  commode  {close  stools) do. . 

Pails,  white  enamel do. . 

Paint,  white  enamel,  1-pint  tin tms. . 

Pajamas,  coats number. . 

Pajamas,  trousers do 

Pans,  dish,  deep,  retinncd,  21-quart do 

Pan,  dish,  extra  heavy,  retinned  or  metal,  3S-quart do 

Pans,  dust do 

Pans, frying do — 

Pans,  milk do 

Pans, muffin do 

*Pans, sauce do 

Paper ,  filtering,  round,  10-inch packages. . 

Paper,  oiled , in  5-vard  roll rolls. . 

Paper, tarred,  in  30-yard  roll,  as  required do 

Paper,  toilet,  in  roll  of  2,000  sheets do. . . . 

Paper,  wrapping,  blue quires. . 

Paper,  WTapping,  bro\vn do 

Paper,  wrapping,  white "?••-- 

Pencils,  hair,  1  dozen  in  vial \nals. . 

Percolators,  glass nurnber. . 

Pill  machine '^^ 

Pillowcases,  cotton do 

Pillows,  feather 5° 

Pillows,  hiir do 

put  tile,  5  by  10  inches do. . . . 

Pins,  common, assorted papers.. 

Pins,  safety,  3  sizes dozen. . 

Pitcher,  delft,  for  office number. . 

Pitchers,  delft,  1-pint !l°---- 

Pitchers,  delft,  4-quart do. . . 

Pitchers,  sirup,  glass do. . . 

Pitchers,  white  enamel do 

Plaster,  adhesive,  z.  o.,  5  yards  by  2i  mches » spools. 

Plaster  of  Paris,  in  4-pound  tin tms. 

Plates,  dinner number. 

Potato  masher do. . . 

Pots,  mustard,  with  wooden  spoons "  j°-  •  • 

Pots, stock,  24-quart do. . . 

Pots,  tea,  enamel  or  tin a'" 

Pot,  watering ^°' ' ' 

Pus  basins do. . . 

Racks  for  urinals  and  bed  pans do. . . 

Razors a'" 

Razors,  strops  for do. . . 

Refrigerators, large  or  small,  as  required do. . . 

Retorts,  stands  for -do. . . 

Rods,  glass,  assorted,  in  10-oimce  package packages . . 

Rolling  pin number. . 

Safe,  iron do. . . 

Saucers » <!''■  -  - 

Saw ,  butcher's ^   ■ " " 

Scales  and  weights,  apothecary's,  metric  system do. . . 

Scales  and  weights,  balance  in  glass  case,  metric  system do. . . 

Scales  and  weights,  grocer's j" "  ■ 

Scales  and  weights,  platform j"' ' ' 

Scissors,  bandage ^o. . . 

Scoops ^^ 

*Screens,  bed,  foldintj,  frames  for, _  white  enamel do 

Settees,  for  porch  or  hall,  as  required do — 

Shakers,  pepper,  glass do 

Shakers,  salt,  glass do 

>  Also  issued  on  special  requisition  at  the  rate  of  1  spool  to  each 
to  carry  out  provisions  of  existing  orders.    (See  Appendix:  Feet.) 


600 


30 


150 
6 

12 
6 
9 
1 
1 
128 

32 

32 
1 
S 

30 
1 
2 
4 
3 
2 

40 
6 

48 
1 
2 
1 
2 
1 
3 
2 
1 
1 


800 


1,000 


200 
8 

16 
8 

12 

2 

1 

192 

48 

48 
1 

10 

36 
1 
4 
6 
3 
3 

50 
S 

56 
1 
2 
2 
3 
1 
4 
2 
2 
2 


1 
1 

IS 
1 
4 
3 

10 
128 
128 
3 
1 
6 
3 

10 
4 
3 
5 
5 


300 

10 

20 

10 

15 

2 

1 

256 

64 

64 

1 

12 

40 

1 

4 

8 

4 

3 

60 
10 
72 
1 
2 
2 
3 
1 
4 
3 
2 
2 


2 
1 
1 
18 
1 
4 
3 

12 
160 
160 
3 
1 
6 
3 
10 
4 
3 
6 


400 

12 

24 

12 

18 

2 

1 

320 

80 

80 

1 

15 

48 

1 

4 

10 

4 

3 

70 

12 

84 

1 

2 

2 

3 

1 

4 

3 

2 

2 


20  men  of  organizations  o  f  foot  troops 


256  MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 

Miscellaneous  supplies — Continued. 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of— 


100       200       400       600       800     1,000 


Shears number. 

Shears,  for  fixed  bandages do — 

Sheeting,  rubber yards. 

*Sheets,  cotton number. , 

Shirts,  cotton do — 

Shoes,  wooden,  for  bedstead's do — 

Sickle do. . . . 

Sieves,  flour do — 

Silk,  oiled,  in  5-yard  roll rolls. 

Skimmers number. 

Slippers pairs. 

Soap,  common pounds. 

*Soap,  Ivory cakes. 

*Soap,  scouring pounds. 

Spatulas,  S-inch number. 

Spatulas,  6-inch do — 

Speculum,  rectal do — 

Sphygmomanometer do — 

Splints,  Hodgen's,  right  or  left,  as  required do  — 

Sponge  holders do — 

Spools,  Halstead's,  glass do  — 

Spoons,  basting,  tinned  iron do — 

Spoons, table,  silver-plated do — 

Spoons,  tea,  silver-plated do. . . 

Sprinklers,  powder,  h.r do. . . 

Stair  treads,  linoleum.^  as  required do. . . 

Stair  treads,  rubber  nosings  for, ^  as  required do... 

Stair  treads,  molding  for,  as  required feet. 

Stamp,  with  outfit,  for  viarking  hospital  clothing number. 

Steels do. . . 


2 

1 

6 

100 

16 

64 

1 

1 

2 

1 

12 

80 

72 

48 

1 

1 

1 

1 


2 
1 

10 
200 

32 
128 
1 
1 
3 
1 

20 
100 

90 

72 
2 
2 
1 
1 


3 

1 

14 

300 

48 

192 

1 

2 

4 

2 

30 

120 

108 

96 

2 

2 

1 

1 


3 
100 
30 


3 

1 

18 

400 

64 

256 

1 

2 

5 

2 

40 

140 

126 

120 

2 

2 

1 

1 


100 
6 

80 


Sterilizer,  for  dressings do. . . 

Stethoscopes,  double do.. . 

Stools, revolving,  irhite enamel do.. . 

Stoves,  alcohol,  aa  required do. . . 

Stove  blacking papers. 

Suppository  mold number . 

Sutures,  catgut,  plain  or  chromicized,  sterilized,  18  inches,  in  tube, 

assorted  sizes^ tubes. 

Sutures,  horsehair,  100  In  coil coils . 

Sutures,  kangaroo  tendon,  sterilized,  1  suture  in  each  tube,  .tubes. 
Sutures,  silk,  braided,  sterilized,  18  inches  each,  3  sizes,  in  pack- 
age  packages . 

Sutures,  silkworm  gut,  100  in  coil coils . 

Sutures,  silver  wire,  in  yard  lengths yards. 

Syringes,  bulb,  rubber number. 

Syringes,  ea  r  and  iilccr do . . . 

Syringes,  extra  needles  for ,3  as  required do. . . 

Syringes,  extra  wires  for,  as  required bundles . 

Syringes,  fountain,  metal,  2-quart,  proifua/ed (irrigators). ..number. 

Syringes,  fountain,  rubber do . . . 

Syringes,  glass,  Luer  type,  2  c.  c.  (for  antityphoid  vaccination), 

as  required number . 

Syringes,  glass,  Luer  type,  10  c.  c,  as  required do. . . 

Syringes,  glass,  Luer  type,  SOc.  c.  (for  injection  of  neosalvarsan), 

as  required ". number. 

Syringes,  hypodermic  (par.  9i6) do. . . 

Syringes,  penis,  glass,  in  case do. . . 

Tables,  bedside,  iron,  white  enamel do. . . 

Tables,  bedside,  white  enamel,  tops  for,  as  required do. . . 

atoWes,  dining,  extension,  as  required do. . . 

Ttibles,  instrument do. . . 

Tables,  operating do. . . 

Tables,  typewriter do. . . 

Tape,  cotton pieces . 

Tape  measures,  linen,  6  feet number. 

Thermo-caulrry,  Paquelin's  (par.  957)< do. . . 

Thermometers,  bath do. . . 

♦Thermometers,  clinical  ^ do. . . 

Thermometers,  meteorological do. . . 

Thread ,  cotton,  assorted spools . 

Thread,  linen,  unbleached,  200  yards  on  spool do. . . 

1  State  niimber  and  dimensions  of  treads. 

2  Kinds  and  sizes  to  bo  stated  on  requisilion.s. 

3  In  making  re(iuisition  for  extra  needles  specify  make  of  syringe  and  size  of  needle  desired. 

*  Benzin  of  aspocific  gravity  notgroater  than  0."724  in  l-llter  bottles  will  beissued  as  required  for  use  with 
this  cautery. 
6  Clinical  thermometers  are  issued  on  request  by  letter  approved  by  the  department  surgeon. 


4 

125 

40 


POST    SUPPLY    TABLES. 
Miscellaneous  supplies — Continued. 


257 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     1,000 


Tongue  depressors,  metal number. . 

Tongue  depressors,  wood gross. . 

Tourniquets  and  bandages,  rubber number. . 

Tou-els,bath dozen.. 

Towels,  dish do 

*  Touels,  hand do 

Towels,  paper,  fitures for number.. 

Towels,  paper,  in  roll rolls. . 

Traps,  mouse number. . 

Traps,  rat do 

Trays,  bed,  with  legs .do 

Trays,  butler's do 

Tia'ys,  instrument,  iihite  enamel do 

Troicel,  garden do 

Tubes,  drainage,  rubber,  3  sizes,  1-yard  length yards. . 

Tubes,  rectal number. . 

Tubes,  stomach do 

Tubing,  glass,  assorted pounds. . 

Tubing,  rubber,  sizes  as  specified yards.. 

Tub.  bath,  portable,  on  wheels number.. 

Tubs,  foot do. . . 

Tubs,  wash do... 

♦Tumblers,  glass do. . . 

Twine,  fine  or  coarse pounds. 

Tti.ine  boxes number. 

Typewriters do... 

T>-pewTiters,  record  ribbons  for,'  as  required do. . . 

Urinals,  glass,  graduated do 

Vials,  in  sizes  as  desired dozen. . 

Vision  test  set  (par.  959) : number. . 

M'ater  coolers do. 

Window  shades  with  fixtures,  complete,^  as  required do. 


4 

mo 
1 

2 


150 
1 
2 


8 

200 

1 

3 


10 

250 

1 

3 


4 

14 
2 
7 
7 

35 
4 

35 
3 
2 

10 
5 
3 
1 
6 
2 
2 
2 
4 
1 
2 
2 

84 
6 
2 
2 


12 

300 

1 

3 


'  Supplied  on  the  order  of  the  department  surgeon.  One  for  each  machine  only  at  a  time  should  be  asked 
for.    The  make  of  machine  should  be  stated  in  the  request. 

2  Requisitions  for  window  shades  and  fixtures  will  be  accompanied  by  an  estunate  of  the  cost  of  mak- 
ing or  purchasing  these  articles  at  or  near  the  post. 

93440°— 17 17 


258  MANUAL   FOR  THE   MEDICAL  DEPARTMENT. 

846.  LABORATORY   tSUPPLIES. 


Articles. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


Arid,  ncctic,  t-liirial,  1  pound,  in  glass-stopper  botllo bottles.. 

Apar-at'ar,  \  pound,  in  packufjc packages. . 

Alcohol,  absolute,  othyl,  1  pound,  in  glass-stopper  bottle. .bottles. . 

Alcoliol,  methyl,  reagent,  1  pound,  in  glass-stopper  bottle.,  .do 

Aniline  oil,  2  ounces," in  bottle do 

AppiirntiiK,  dislilling number.. 

Balsam,  Canada,  1  ounce,  in  bottle bottles.. 

Baxkcts,  u-'iTC,  for  test  tube s number . . 

Bath,  wain,  for  p'lrafti n,  as  rec (uired do 

Bath,  water,  copper,  for  tr.H  tubes do 

Bath,  water,  tripod  for do 

Beakem,  glnns,  sizes  15  c.  c.  to  SOO  c.  c do 

Bismarck  brown,  J  ounce,  in  bottle bottles.. 

Bottle,  balsam number. . 

Bottle,  dropping,  for  oil  of  cedar  (1  with  microscope) do 

Bottles,  dropping,  T.  K.,foT  stains,  2  ounces do 

Bromin,  1  ounce,  in  bottle .» bottles.. 

Brushes,  test  tube number . . 

Burettes,  glass  stop-cock,  25  c.  c,  subdivision  IjW  c.  c do 

Burettes,  supports  for,  ivith  double  clamp  and  three  rings do 

Burners,  Bunsen's^ do 

Centrifuge,  hand do 

Covers,  glass ounces . . 

Cylinders,  graduated,  with  foot,  10  c.  c number.. 

Cylinder,  graduated,  with  foot,  25  e.  c do 

Dishes,  evaporating,  porcelain,  sizes,  35  c.  c.  to  300  c.c do 

Dishes,  I'etri's do 

Dishes,  Stender,  30  by  50  mm do 

Eosin,  J  ounce,  in  bottle bottles . . 

Flasks,  Frienmcyer's,  250  c.c number. . 

Flasks,  Frienmeyer's,  600  c.c do 

Flasks,  ErJcnmeijer's,  l/KK)  c.c do 

Flasks,  Frienmeyer's,  2,000  c.  c do 

Forceps,  corer-glass,  S'ovy's do 

Forceps,  cover-glass ,  Sleu'art's do 

Forceps,  straight,  mediu m  fine do 

Fuchsin,  J  oiiuce,  in  bottle bottles.. 

Fuchsiu,  acid,  J  ounf-e,  in  bottle do 

Gau  e,  wire,  iron,  asbestos  centers,  4  by  4  inches pieces. . 

G elat  in,  in  2-ounco  package packages . . 

Gentian  violet,  i  ounce,  in  bottle bottles. 

Glucose,  powdered,  J  poimd,  in  bottle do... 

Hemaglobin  scales,  Tallquist "s number. 

llemato.xylin,  J  ounce,  in  bottle bottles. 

Hemacytometer number. 

Hone,  Belgian,  Sby  Ih  inches,  ^  as  required do. .. 

Incubator,  bacteriological ,'i  as  required do. . . 

Jars,  staining,  Coplin's do. . . 

Labels,  microscopical,  square,  500  in  book books. 

Methylene  blue,  i  oimce,  in  bottle bottles . 

Microscope,  -post  (par.  951) number. 

Microtome,  complete,  as  reciuired do... 

Oil,  imn)ersiou,  1  ounce,  in  bottle bottles. 

Paper,  filtering,  Swedish,  Munktel's quires. 

Papeij  litmus,  blue  and  rod,  100  strips  in  vial,  of  each vials. 

ParalliU,  soft  and  hard,  as  required pounds. 

Pencils,  wa.K,  red number. 

Peptone,  A  pound,  in  wide-mouth  bottle bottles. 

Pipettes,  ice nunilier. 

Pipettes,  5  c.  c do. . . 

Pipettes,  10  c.  e do. . . 

Pipettes,  25  c.  c do. . . 

Pipettes,  graduated,  5c.  c '. do. . . 

Razor,  strop  for.  Badger,  Emerson's  electric,  I4  inches  lonq:-  as 

required number. 

Retorts,  stands  for.    (See  par.  845.) 

Rings,  filtering,  porcelain do . . . 

Rods,  glass,  5  mms.  thick,  15, 20,  and  30 cms.  long,  assorted. pounds. 

Section  lifter,  small number . 

Slides,  glass,  25  by  75  mms do^eii. 

Stcriliztr.  hot-air.  10  by  12  by  10  inches number. 

Stopcocks,  Mohr's,for  rubber  tubing do. . . 

Test  glasses,  f ootid,  urinary do 


•  Issued  only  to  posts  supplied  with  gas. 

-  Issued  only  for  use  with  microtome. 

3]n  making  requisition  state  method  of  heating 


available,  whether  alcohol,  petroleum,  or  gas. 


POST    Sl'lM'I.V    TAHI.F.S. 
Lahonitonj  suppU^ — (.■onliuup'l. 


259 


Articles. 


Test  tubes ilozen . . 

Test  irtbcs,  stand  for number. . 

Thermointlir,  dumical,  0-lOu°  ( do 

Thcrmomdt r,  clicmical,  0-200°  C .■ do 

Tripnis,  iron,  liuvscn's do 

Urcomctt  r,  Dortmits- Hinds do 

Urinomttcrs do 

Watch  glasses,  Syracuse do 

Wire,  platinu m ,  hea -'p inches. . 

Wire,  plaiinvm,  medium ;.  .do 

Wright's stLiin.  powdor.  0.2  gram  in  ampul i ampuls.. 

Xylol,  in  .j-ijound  bottle bottles. . 


Allowance  for  1  year  for  posts  having 
official  population  of — 


400 

two 

SOO 

35 

40 

45 

2 

2 

1 

1 

1 

1 

2 

2 

1 

1 

2 

2 

4 

6 

6 

12 

12 

6 

12 

12 

2 

3 

3 

1 

2 

9 

I  To  prepare  the  stock  solution  dissolve  CO  mpms.  in  20  c.  c.  of  methyl  alcohol,  reagent  (acetore  free). 
For  use  filter  and  make  up  to  25  c.  c.  with  methyl  alcohol. 


847. 


IDENTIFICATION   SUPPLIES. 


Articles. 


Allowance  for  1  year  for  po.sts  having 
official  population  of — 


100       200       4tX)       600       SOO     1,000 


Boi  for  holding  developing  tray number. . 

Ca mera  irilk  icns do 

Camera  with  lens,  stand  for do 

Chair.  rcroJving,  photo do 

Crayon,  chalk,  white,  1  gross  in  box bo.xes. . 

Developer  for  films,  in  tube,  as  required tubes. . 

Developer  for  paper,  in  tube,  as  required do 

Dry  cells,  as  required number. . 

Film  pack  ad'tjier do 

Film  pack  adapter,  slide  for,  as  required do 

Film  packs.  12  films  in  pack,  as  required do 

Finger  Prints,  Classification  andUsesof,  Henry copy.. 

Fixing  salts,  in  package,  as  required packages. . 

Flashlight  cage number. . 

Flashlight  cartridges,  as  required do 

Graduates,  glass,  S-ounce do 

Ink  plate do 

Ink,  printing,  in  J-pouud  tube tubes. . 

Lantern,  ruby number. . 

Magnesia  riblsons,  50  in  box,  as  required boxes. . 

Metjl  clips,  for  holding  magnesia  ribbons.    (See  Forceps,  cover- 
glass,  Stcirart's.  par.  S46.) 
Paper, printing,photographic,3 1.iy  oh  incites, as  required  .packages. . 

Photo,  clips,  as  required number. . 

Printing  brjard  • do 

Printing  frames do 

Push  button do 

Roller,  i7ik,  handle  for , do 

Roller,  ink,  sn mmer,  as  required do 

Roller,  ink,  u-inter,  as  required do 

Shade,  roller,  with  hood  (background) do 

Slate.i,  /,";  by  Uh  inches do 

Spark  coll '. ' do 

Spark  pluei do 

Thermometer,  chemical, 0-100°  C. do 

Tra-^ing  cloth,  as  required yards . . 

Tray,  developing,  for  6  by  7  plates number. . 

Tray,  developing,  for  8  by  10  plates do 

Trays,  developing,  for  11  by  14  plates do 


1  Requisitions  for  identification  .supplies  shotild  be  made  on  Form  35  only.  On  these  requisitioiis  no 
items,  except  those  pertaining  to  identification  of  soldiers,  should  appear  as  they  are  filled  from  the^ew 
York  Supply  Depot  only.  .  -^t     ,    *  •  i-  i,* 

s  A  printing  box  may  be  furnished  in  lieu  of  the  printing  board  for  posts  equipped  with  electric  light. 


260  MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 

848.  X-RAY   SUPPLIES. 


Articles. 


Apparatus,  X-ray,  as  required number. . 

Apron,  rubber,  lead  impregnated do 

Barium  sulphate,  for  X-ray  worlc,  1  pound,  in  bottle bottles. . 

Bismuth  subcarbonate,  1  poimd  in  bottle do 

Carriers,  plate,  S  by  10  inches  and  H  by  17  inches,  for  use  with  tanks, 
of  each number. . 

Chrome  alum,  crystals,  1  pound,  in  bottle bottles.. 

Films,  dental.  X-ray,  6  dozen  in  box boxes. . 

Fliwroscope,  hand number. . 

Fumiel,  glass,  ribbed,  500  c.  c do 

Gloves,  rubber,  lead  impregnated,  size 9 pairs.. 

Holder,  plate,  for  use  instead  of  envelopes number. . 

Hydroquinon,  J  pound,  in  botlle bottles.. 

Metol  (or  equivalent ),  1  ounce,  in  bottle do 

Plates,  X-ray,  8  by  10  inches,  10  by  12  inches,  11  by  14  inches,  and 
14  by  17  inches,  as  required number.. 

Sodium  carbonate,  dry,  1  pound,  in  bottle bottles.. 

Sodium  hyposulphite poimds. . 

Sodium  sulphite,  dry do 

Screens,  intensifying,  10  by  12  inches  and  IJ,  by  17  inches,  of  each, 
number 

Stereoscope number . . 

Tanks,  developing,  soapslone,  Ui  by  Ui  by  19  inches  deep,  inside 
measurement number. . 

Tray,  developing,  for  10  by  12  inch  plates do 

Trays,  d(rehiping,for  14  by  17  inch  plates do — 

Tubes,  X-ray,  Coolidge,  as  required * do — 

Tubes,  X-ray,  tungsten  target,  6-inch  diameter  (for  use  with  induc- 
tion coil),  as  required number. . 

Tubes,  X-ray,  tungsten  target,  7-inch  diameter  (for  use  with  trans- 
former), as  required number. . 


Allowance  for  1  year  for  posts  having 
official  population  of — 


600      800     1,000 


ARTICLE  XVIII.— DENTAL  SUPPLY  TABLES. 

849.  The  articles  listed  in  the  following  tables  comprise  the  usual 
equipment  for  use  by  dentists  in  the  Army,  including  both  portable 
and  base  outfits. 

(a)  The  portable  outfit  is  in  greater  part  contained  in  the  dental 
chests,  viz,  instrument  chests  Nos.  1  and  2,  supply  chest,  dental 
engine  chest,  dental  cliair  chest,  and  dental  field  desk,  thus  facilitat- 
ing transportation  between  itinerary  stations.  Dental  chests  are 
issued  empty  on  proper  requisition. 

{h)  The  base  outfit  consists  of  a  complete  portable  outfit,  except 
furniture,  plus  a  laboratory  equipment  and  dental  office  furniture. 
Base  outfits  are  supplied  at  general  hospitals  and  other  important 
stations  designated  by  the  Surgeon  General,  where  they  permanently 
remain. 

850.  The  numbers  in  the  body  of  these  tables  immediately  foUow- 
mg  the  names  of  tlie  articles  indicate  their  size  or  pattern,  taken 
from  the  catalogues  of  the  leading  dental  manufacturers  of  the 
country. 

85  L  The  supply  of  expendable  articles  is  estimated  for  six 
months, 

852.  The  articles  listed  in  the  tables  which  are  to  be  furnished  by 
the  surgeon  from  post  supplies,  under  the  provisions  of  paragraph  491, 
are  indicated  by  an  asterisk  ]>efore  each  item. 

853.  Instruments  and  supplies  for  plate  work  wiU  not  be  furnished. 
Plates  are  supplied  by  the  Medical  Department  only  when  the  teeth 
were  destroyed  by  gunshot  wound  or  other  traumatic  injury  incurred 
in  the  line  of  duty.  In  such  a  case  the  dentist  wiU,  by  letter  to  the 
department  surgeon  or  the  Surgeon  General,  as  may  be  appropriate, 
reciting  the  fact  and  circumstances  of  the  injury,  request  the  plate 
or  plates  required.  Upon  approval  of  the  request,  of  which  the 
dentist  will  be  advised,  he  will  forward  to  the  medical  supply  depot 
designated  in  the  approval  the  impressions  or  models  necessary  for 
the  construction  of  the  plate,  giving  the  shade  number  wanted,  and 
the  depot  will  procure  and  issue  the  same. 

261 


262  MANUAL   FOR   THE   MEDICAL  DEPAETMEXT. 

854.  PORTABLE  OUTFIT. 

(a)  MEDICINES. 


*Aei(lum  sulpliuricum,  J  pound,  in  glass-stopper  bottle bottles. 

*Acidum  tanuicum,  powder,  3  ounces,  in  wide-mouth  bottle do... 

Acidum  trichloraceticum,  1  ounce,  in  glass-stopper  bottle do... 

*Adrenalin  chlorid,  1-ingm.  tal)lcts,  20  in  tube.  ^ tubes. 

*Aethylis chloridum,  3  ounces,  in  metal  tube do. . . 

♦Alcohol ,  1  q uart ,  in  bottle ^ bottles. 

*Aqua h ydro^pnii  dioxidi,  1  pound,  in  bottle : do. . . 

*Argenti  nitras,  crystals,  1  ounce,  in  bottle ^ do. . . 

♦Chloroformum ,  i  "pound ,  in  tin , . : j. tins. 

♦Cocainaohydrochloridum,  J  oimce,  in  wide-mouth  bottle 'Sii-..'.'.^1 bottles. 

*Cocaiuaehydrochloridum,  10-mgm.Jiypodermic  tablets,  20  in  tube ^.-. tubes. 

♦Collodium ,  1  ounce,  in  bottle '.'. bottles. 

*Cresol ,  1  pound,  in  bottle do. . . 

*Emet  inae  hydrochloridum,  22-mgm.  hypodermic  tablets,  20  in  tube,  as  required tnlws. 

Eugcnol,  1  ounce,  in  bottle i.i,.j.,. bottles. 

*Glycerinum,  1  pound,  in  bottle '. iKvJj.'A'. l.L . . . .do. . . 

*Liquor  I'ormalfleh  vdi  (37.V  per  cent),  1  quart,  in  bottle ,^.., ,. . .^^ do. . . 

Mercury, redistilled,  4  ounces,  in  bottle '. do. . . 

*Morph inae  sulphas,  S-mgra.  hypodermic  tablots,  20  in  tube tubes. 

*Normal saline  solution,  tablets  (par.  902),  100,  in  wide-mouth  bottle bottles. 

Novocain suprareniim,  tablets,  Xo.  "  E  "  (F.-l I.  Co.) tubes. 

♦Phenol,  J  pound,  in  bottle bofttles. 

Phenol, camphorated,  4  ounces,  la  bottle , , do. , , 

*Sodii carbonas  monohydratus,  for  sui'gical  use,  1  pound,  in  wide-mouth  bottle. .:. do... 

Sodii  dioxidi,  2  ounces,'in  screw-top  tin , : ,tins. 

Sodium  and  potassium,  in  sealed  tube ..:i...  ......'.•.:;.. tnbes. 

♦Spiritusammoniaearomaticus,  h  pound,  in  glass-stopper  bottle. ....... .,i,.t...... ...4... bottles. 

*Thymolisiodidum  (Arisioli,  1  ounce,  in  bottle..... ......' ....'..■'■.. '.'.'.'.■.'.l..^i..';V.:.,.. .do... 

*Tiricturaaconiti,  1  ounce,  in  Ijottle ....,..,. ^.,f. do... 

*Tincturaiodi,  4  ounces,  in  glass-stopper  boti  le '.'.'..'.'..'. do... 


(h)  STATIONERY. 


*Bands,  elastic,  assorted  sizes.    (See  par.  844) dozen. .  ■,,,(} 

*BlotteTS,  hand number. .  '    2 

*Books,  blank,  Svo,  150  pages ., ,----. do...-, ,   ,2 

♦Envelopes,  official,  letter : ......:. do. ...  150 

♦Envelopes,  official,  note do„...^  1    i  v'Q 

♦Eraser,  rubber,  typewTiter do '       I 

Eraser  J  steel do. ..-  /     1 

Examination  blanks,  No.  2 do. . ; .  ■"  300 

Files, Sha nnon do. ...  .  :.4. 

♦Ink,  black,  jxiwder  or  tablets  (sufficient  in  box  for  1  quart  of  fluid) boxes. .  1 

♦Ink ,  red,  2  ounces,  la  bottle bottles. .  '     1 

♦Pads,  prascription number. .  12 

♦Paper,  blotting,  tor  desks quires. .  1 

♦I'aper,  blotting,  small  pieces  for  hand  blotters pieces..  10 

♦Paper,  carbon, "letter sheets. .  IQ 

♦Paper  fasteners number. .  50 

♦Paper,  mauifoldmg,  letter,  perforated sheets. .  100 

♦Paper,  typewriter,  letter . . ; do 100 

♦Paper ,  writing,  letter ^ .\.^^  >  j  |  ^t^.!/^.  .-h-i  ..-.---- do 50 

♦Paper,  writing,  note,  100 sheets  in  pad .'.' '.....'.. pads. .  3 

♦Piiste, photo  and  library .-j.j.J^j^jjt/^y. .j.tKJ^tj.j.^-i.i.y.,.;. .1^, jars..  1 

♦Pencils,  lead ". . .' .'....' !.'...'.'..  f!' ..';... ! uuml  ;er.  6 

♦Penholders .^Ly.;,v.j^.i[-.H^^.j£l.....:/H,.J.>..V. do....  2 

♦Pens,  steel ; do 24 


(c)  BOOKS. 

'jqi.f^i  Ij!->!l)"m  ')      (Contained iji field  desk.)     ,    .{»4^!7bli  ?)(l   lii 7 


Army  RequlntUms.. 


c  'Uies 

Ixviul  Jid-lcTui  Meiiica,  TheTnp(ni,tics,and  Prescri/ition  Writing  (Jjorifi) ^ ilo 


Dentil  Pathology,  'I hera iH-iitics,and  Pharmacology  (Tiuchiird) ,.^..' ,. do. 

Dentistry,  First-Aid  1.  i;yun) .,,.. ;...;... u<.'.l.-t.>i.Ul- ii'iJJ-MO'Ui- •iiJ.i<'---<lo- - 

Dentistry ,  Opnntiie  (  fUuck),  I  ols.  I  and  II t do. . 

Unndliook  of  the  Ihisjiitnl  Corps  (Mason) do.. 

Mu  mint  for  the  Mtdinil  Department do.. 

Oral  Sargiry  ( Ilrophy) do. . 


DENTAL  SUPPLY  TABfKS. 


263 


Porlahlc  outfit — Continued. 

(d;  BLANK  FORMS. 

(CoMtaiiiwl  in  field  dcsli.) 


Correspondence  bonk  ^supplied  !)>•  Adjutant  General's  Departme-at) number. . 

Dental  engagement  slip,  l'\>rm  6.5 do — 

Invoice  of,  or  rccoipt  for,  dental  supplies.  Form  31 1**-  ■  ■ 

Register  of  dental  patients,  card ,  Form  79 ■ j    " ' " 

Report  of  dental  worlj.  Form  57 do — 

Requisition  for  blank  forms,  Form  37 ■ do — 

llciiuisition  for  dental  snpidies,  annual.  Form  36 do. . . 

Requisition  for  dental  sujiplips,  special.  Form  3.t (  o. . . 

Return  of  medical  propei  ty,  front,  card.  Form  17 (  o. . . 

Return  of  medical  proper!  y,  original.  Form  17« <"-  -  ■ 

Return  of  medical  jiropt'rt  y,  retained.  Form  \~h (  <>. . . 

Return  of  medical  property,  back,  card,  Form  17c •. do. . , 


(c)  INSTKUMENTS   AND   APPILIANCE^. 


A malgam  plugger,  double  end,  No.  5 - .  -  - , nuiiiber . . 

Anvil,  cast  base,  siivill do. . . , 

Bands,  fr.acture,  Anglo's,  4  bicuspid  and  2  malar , sots. 

Blower, chip,  and  lioi-air  syringe,  No.  38,  with,  wooden  mouth  protector number.. 

Blower, chip,  e.\tra  bulbs  for ""  — 

Bottles,  office,  preiiaration.  No.  6,  as  requiied - flO-  -  - 

Burnishers,  c.  s.,  Nos.  25,  27-S,  29,  32,  liJ^-S,  36,  of  each do.  -  - 

Case,  office,  oak,  preparation,  eighteen  ^-oz.  glass-stopptr  bottles <^o. . 

Case,  ollice,  preparation,  o.xtra  i-ounce  glass-stopper  b  ittles  for ao. . . 

Chisels, c.  s.,  points,  Nos.  3,-^3,  S4,  35,  36,  4t,  42,  of  each    co... 

Clamps,  rubber  dam,  Ivori/s,  Nos.  9,  19,  20,  21 ,  22:i,  23a,  56,  and  Bi-nnp,  of  each -do. . . 

Cleanser,  ro.>t-caii,il,  Donaldson's,  No.  b,  all  fine,  6  in  package packages . 

Corkscrew,  folding number. 

Bentiinetcr,  metal.  Kirk's ""- „• 

Elevators,  set  of  4  shanks  with  handle,  Dodel S5t  is. 

Engine,  dental,  with  No.  2  slip-joint  attachment number. 

Engine,  dental,  cable  "A",  as  required '}0-  •  - 

Engine,  dental,  cable  "A",  sheath  for,  as  required <|0 -  ■  • 

Engine,  dental,  duplex  springs  for -  -  ■ 'lO-  ■  - 

Engine,  dented,  duplex  springs,  sheath  for,  part  14x,  as  required ao. . . 

Engine,  dental,  e.xtra cords  for ..._.......... uo. . . 

Engine,  dental,  handpiece  for,  "  M"  contm-angle,  for  slip-jointNo.2 ao. . . 

Engine,  dental,  hand  piece  for ,  No.  2,  right  angle,  for  .shji-joivt  No.  2 ao. . . 

Engine,  dental,  hand  piece  for,  No.  7,  straight,  for  slipioi  nt  No.  2 wt  li^ ' 

Engine,  dentai.lubricating  oil  for,  1  ounce,  in  b-ttle......   ,;„^w' 

Engine,  dental,  slip-joint  connections  for,  part  C2,  as  required number. 

Knaine,  dental,  slip-joint  connections  for,  part  F'2,  rs  required ao. 

Engine  instruments  for  handpieces,  "M  "  centra-angle,  and  No.  2  riglit-angle: 


Burs,  bud,  4.1,  47,  50,  of  each. 
Burs,  dent 


.do., 
do.. 


ate,  557,  558,  559,  560,  508,  of  each ao. 

re,  57,  60,  61 ,  of  each '^o- 

..i„.i  „„^„    -jQi    Tf    ^r,    07    QQ    41    nfenrb  ao. 


Burs,  fissur.,  _  ,      ,      ,  ,       , 

Burs,  invert  edccno,  331,,  31,  35,  37,  .39,  41,  of  each  ..-.----- a"-- 

liurs  plug-linishing,  200,  '202,  221, 224,  225,  231,  245,  of  each do. . 

Burs,rouiid,i,l,2,  4,6,8, 10,  of  each ao.. 

Burs,  wheel,  12, 14, 16,  of  each •  -  r ""■•-■ 

Drills,  100, 103,  of  each ■. 4"-  •  -  ■ 

Drills,  Gates-Glidden,  174, 176,  of  each. ""■  -   ■ 

Mandrels,  302,  303,  of  each do"  " 

S^:!ikr!^;";SSme!uumgfit,^unted;-l^,-ls7,-^ 
Engine  instruments  for  liandpiece  No.  7:  , 

Burnishers,  smooth,  Nos.  0.  G.  &  E.,  of  each )\„"" 

Burs,  bud,  45,  47,  50,  of  each - ""••-■ 

Burs,  dentate,  557,  558,  559,  500,  568,  of  each ao. . . . 

Burs,  fissure,  57,  60,  61,  of  each - Ar,'" 

Burs,  inverted  cone,  33^,  34,  35,  39,  41,  of  each  ......  • ao. . . . 

Burs  plug-finishing,  200,  202,  221 ,  224,  2'26,  '231,  24.),  of  each rto-  -  - 

Burs,  round,  ^ ,  1,  2,  4,  6,  8,  10,  of  each ' '  rin  ' ' 

Burs,  wheel ,  12,  14 ,  1  (i,  of  each V"-  ■  • 

•    Drills,  10(1,  103,  of  each - Ji""  •  • 

Drills,  ( iat  ts-(  didden,  1 74, 176,  of  each .- ""■  -  - 

Mandrels,  3()2,  303,  of  each V^  ■  -  • 

Mandrels,  Morgan-Maxfield V ;',;."";:; "  'iJa  '  W,  V-  oi  a  'oor '  007  "  o'is  '  941  '  nV 

I'oints,  carborundum,  medium  grit,,  mounted,  186,  187,  189,  211,  219,  22i,,  227,  2,^4,^241,^01 

each -  -  -  -  - fi(, 

Reamers,  root,  Peeso's,  2,  3,  of  each ^j'^-  •  ■ 

Erc!^^^^'^kK^f:^,^e:47;72;^:ioo:m:w^^^^^^^^^ 


of  each . 


.do. 


Explorer's,  c.  s.  points,  5,  6, 11, 12, 18,  of  each -  •""• 

File,  gold,  half-round,  7-inch do "" 

File,  gold,  round,  7-invh ^^ 

Forceps,  croirn-s!iltin,g 4 flo 

Forceps,  rul)ber-dam ,  clamp,  Brewer's 

Forceps,  ruhher-dam,  piinch,  perfected 


1 

•2,50 

24 

500 

12 

4 

6 

24 

4 

800 

800 

4 


6 

12 
6 

12 
2 

12 
6 
6 

12 
6 
3 
2 

1 
1 

12 
6 

12 
2 

12 
6 
6 

12 
6 
3 

2 
3 
2 

2 
2 


264 


MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 


Portable  outfit — Continued. 
INSTRUMENTS  AND  APPLIANCES— Continued. 


Forcrpx,  tooth-cztracting  10,  16,  20L,  20R,  27,  37,  65,  103,  IM,  213,  of  each number. . 

Force  jjx,  vtdiif-cuttiii^.  No.  3 do 

Hammer,  riveting.  No.  "A"' do 

Handles,  cone  socktl,  No.t.  2,  3,  of  each do 

Holder,  cotton  feed,  cylinders  for packages. . 

Holder, for  cotton,  aseptic,  luniy  glass number.. 

Holder,  for  mercury,  cnonij.  No.  1 do 

Holder, for  nerve  broach,  No.  6 do 

Holder,  rubher-dam,  Anatomik do 

Hone,  oil,  Arkansas  stone,  in  wooden  box do 

Lamp,  alcohol.  No.  26,  with  nealing  tray  No.  0 do 

Lamp,  alcohol,  e.xtra  wicks  for do — 

Lancet,  abscess,  metal  handle.  No.  5 do 

Lancet,  gum,  metal  handle.  No.  2 do 

Mallet,  metal  case.  No.  11 do 

Matrix  retainer.  Ivory's,  No.  1 do 

Matrix  retainer.  Ivory's,  extra  bands  for,  bicuspid  and  molar,  of  each do 

Matrix  strips,  steel,  5  in  box boxes. . 

Mechanical  dam,  A  utomaton,  with  rubber  chin  rest number. . 

♦Medicine  droppers do — 

Mirror,  hand,  hevd  edge,  6-inch do — 

Mirrors,  jnoitth,  aluminum  handles do — 

Mirrors,  mouth,  ext  ra  glasses  for,  magnifying  and  plain,  size  No.  4,  of  each do — 

Mortar  and  pestle,  glass.  No.  S do 

Mortar  and  pestle,  Wedgwood,  6  cm do — 

*Pan,  sauce do — 

Pliers,  cone  socket,  No.  102 do — 

Pliers,  dressing.  No.  2 : do — 

Pliers,  dressing.  No.  17 do — 

Pliers,  office,  smooth  beak.  No.  122 do — 

Pluggers,  amalgam,  Woodson's,  Nos.  1,2,  3,  in  set sets. 

Plu^gt  rs,  plastic,  Nos.  4,  5.  2S,  28,  31,  37,  39,  40,  40a,  of  each number. 

Plungers,  root-canal,  Donaldson's,  Nos.  2,  4,  6  (state  number  desired) do. . . 

Post  puller.  Little  Oiant do. . . 

Pots,  medicine,  glass,  Dappen's,  green  and  white,  of  each do — 

Probe,  silver,  in  case do. . . 

Root  drier,  Evans's do. . . 

Saw,  dental,  complete,  Gordon  White do. . . 

Saw,  dental,  Gordon  White,  extra  blades  for do. . . 

Saws,  dental,  ribbon,  |-inch,  thin  do — 

Scalers,  c.  s.  points,  Nos.  3,  6,  12, 26, 26,  SO,  33, 34, 40, 41,54, 59,  of  each do. . . 

Scalers,  pyorrhea,  as  required do — 

Scissors,  gum  J  Curved  on  flat ,  No.  22 do  — 

Separator ,  adjustable ,  Ivory's do. . . 

Shade  bar do. . . 

Shears,  No.  32 do. . . 

Slab,  mixing, glass,  No.  6 do... 

Spatulas,  bone,  Ascher's,  Nos.  A,  B,  of  each do... 

Spatula,  German  mlver,  large,  Kerr's do. . . 

Spatulas,  Nos.  9  and  11  ,of  each do. . . 

Sterilizer ,  Down's do... 

Syringe,  abscess.  No.  S3,  irith  rubber  and  platinum  points do. . . 

Syringe,  hypodermic ,  denial,  all  metal,  No.  172 A do.. . 

Syringe   hypodermic,  deulal,  all  metal,  extra  needles  for,  imperial  razor-edge  points,  gauge  24, 

straignt  and  curved ,  of  each numl-.er. 

Syringe,  water.  No.  SI  a,  Moffalt do. . . 

Syringe,  water,  No.  21a,  Moffatt,  extra  bulbs  for do. . . 

Syringe,  water,  No.  39 do. . . 

Svringe,  water,  No.  39,  extra  pipes  for,  curved do. . . 

♦Thermometer,  clinical do. . . 

Tool,  universal do. . . 

Wire,  iron,  binding.  No.  32  gauge : spools. 

Wire,  ligature,  Angle's,  No.  187 boxes. 

(/)  FURNITURE. 

*Basin,  hand,  e.w .'.';:'.'.:/ number. 

Chair,  dental,  por  table,  in  chest a'" 

Chair , dental ,  portable,  in  chest,  crate  for do... 

Chest,  empty ,  for  denial  engine : do. . . 

Chest ,  for  denial  engine,  crate  for do... 

Chest,  supply,  empty .'. do. . . 

Chest,  supply,  craie for j"""' 

Chests,  ivslr'umtnl ,  empty do... 

Chests,  inslniineni .  crates  for do... 

Cuspidor ,  niekel-plaled ,  No.  6 do •  •  • 

Desk ,  JieUl,  dental,  empty a" 

Desk ,  field,  dental,  crate  for do. . . 

*Screen ,  bed  .folding ,  frames  for ,  white  enamel do. . . 

*Sheets,  cotton do. . . 

Stand,  portable,  complete,  Clark's,  le.is  table,  for  field  use do. . . 

Table ,  pressed  steel,  white.  No.  90,  Harvard,  table  base  to  fit  Clark's  stand do... 


DENTAL  SUPPLY  TABLES.  265 

Portable  outfit — Continued . 
{g)  MISCEIiljANEOTrS. 


Alloy,  copper,  1  ounce,  in  box V  ?n^^' ' 

Alloy,  True-Dent,  shavmf;s,  1  ounce,  in  bottle bottles. . 

Alloy,  20th  Centurv,  shavings  (Caulk  Co.) af-  •  •  ■ 

Aprm.rubher ". number.. 

Box,  snap,  metal,  small 'J^ 

♦Brushes,  hand ,  fiber .do ... . 

Cement ,  copper  ( Ames's) -.---•-.■; bo.xcs . . 

Cement,  o.xyphospluUe,  C  and  B  special  (Ames's)  colors,  yellow,  white,  light-gray,  pearl^ray, 

dark  brown ,  of  each bo.xes . . 

*Chamois  skins number.. 

*Cotton,  absorbent ,  in  roll .pounds . . 

Cotton,  absorbent,  rolls,  6  Inches  long,  f  inch, ',  inch,  |  inch  in  diameter,  100  m  box,  of  each,  .bo.xes. . 

Cots,  finger,  rubber dozen. . 

Covers,  paper,  aseptic,  12  by  12,  for  bracket  table,  100  in  box boxes. . 

Crown  Tcmorcr,  bandles.f,  Dalton number. . 

Cro'mis,  porcelain ,  detached  post,'  as  required ■ -tjo 

Crowns,  porcelain,  detached  post,'  extra  posts  for -do 

Cups,  drinking,  paper,  100  in  box boxes. . 

Cups,  drinking,  paper,  holder  for,  nickel number. . 

Cups,  jwlishing,  soft  rubber,  large  and  small,  of  each uo 

Cups,  tin ,  2  in  nest nests. . 

Disks,  bristle,  Robinson's,  Nos.  9  and  11,  and  cup  shape,  of  each numl)er. . 

Disks,  carborundum,  knife-edge,  diameter  J,  «,  J,  of  each at> 

Disks,  in  boxes,  100  each: 


Sandpaper ,  sizes  ?. ,  | ,  f ,  giit  00 ,  as  required j° "' ' 

Garnet  paper,  sizes  ^ ,  f ,  f,  grit  | ,  as  required do- 


Emerv  paper,  sizes  i,  |,  J,  grit  6^  as  required do 

Cuttlefish  iiaper,  sizes  J,  |,  J,  grit  fine,  as  requii-ed do. . . 

Fiber,  devilaliziug,  arsenical,  in  jar » J^s. 

Floss,  silk,  waxed,  flat,  24  yards  in  spool spools. 

Gowns,  operating nuinber . 

♦Graduate,  glass,  10c.  c -do- •  - 

Gutta-percha  stopping.  Excelsior,  sticks,  J  ounce,  in  box bo.xes. 

Gutta-percha  stopping,  temporary,  pink,  sticks,  1  ounce,  in  box do. . . 

Modeling  composition,  Perfection  (Detroit),  *  pound,  in  box do. . . 

Mold  guide  for  crowns,  case  of  59  molds,  with  shade  guide cases. 

Napkins,  dental,  aseptic,  50  in  box boxes. 

Ox-para i     l-'  ' 

Paper,  articulating,  thin,  in  books booKa. 

Paper  points,  absorbent bo.xes. 

Plaster  of  Paris,  impression,  4  pounds,  in  screw-top  tin .tms. . 

Points,  nerve-canal,  gutta-percha,  large  and  medium,  of  each boxes. . 

Pulp  preserver  and  capper  (Caulk's) do 

Pumice  st one,  powdered ,  1  pound ,  in  screw-top  tin tins . . 

Rubber  dam,  plain,  medium,  IS  feet  by  6  inches,  in  sealed  tins -do — 

Shellac,  sticks,  1  dozen,  in  box boxes. . 

*Soap,  Ivory cakes. . 

*Soap,  scouring pounds. . 

Stove,  alcohol. number.. 

Strips,  Perfection,  polishing,  assorted  grits,  in  boxes boxes 

*Toweh,hand number.. 

♦Tumblers,  glass - -dO-  -  -  • 

Varnish,  sandarach,  2  ounces^,  in  bottle Dotties. . 

AVax,  inlay,  impression,  Taggart's boxes. . . 

Wheels,  carborundum,  square  edge,  Nos.  301  to  312,  inclusive,  of  each number. 

Wheels,  compressed  leather,  for  polishing,  Nos.  J,  1,  2,  of  each V ' ' /n' " ' 

Wood,  orange,  sticks,  large,  25  in  bimdle bundles. 


1 

24 
6 
1 
6 
2 
3 
1 

24 
3 
6 
8 
2 
2 
2 
1 
2 
1 
6 
2 
1 
3 

60 
2 
2 
2 
3 
3 
6 


1  Requisition  for  cro^vns  should  be  made  by  letter  as  needed,  designating  cro\vn  wanted  by  reference 
to  numbers  of  mold  in  mold  guide  and  shade  in  shade  guide. 


266 
855. 


MAISrUAL   FOR  THE   MEDICAL   DEPAETMEXT. 
BASE  OUTFIT. 

(a)  OFFICE  FURNITURE  AND  EQUIPMENT. 


A ir  compressor,  unit,  aulomatic,  electric,  wilh  tank,  No.  95 number 

A  ir  compressor,  unit,  automatic;  tubing,  connections  and  valves  for,  as  required 

Baskets,  letter " "  number 

Baskets,  waste  paper '.".'....... do 

Bench,  combination,  No.  17,  with  bellows .'.'.."..''.'.".....'.'.'.'.'." do 

Bookcase  (Olol)e),  oak,  sectiomil,  base,  top  and  units  jor  books,  lilanks,  and  records,  as  required     ' do    " 

*Broom,corn do    ' 

*Broom,  whisk ............!..!..!!!!!!!!.!!!.!!.'  !do 

Cabinet,  dental,  aseptic,  pressed  steel.  No.  510 .....Ao 

Chairs,  arm _ ^jg 

Chair ,  dental.  Diamond,  cane  seat  and  back  {white),  as  required ' do 

Chairs,  office,  revolving do 

Chairs,  rocking W.......... .... .[].'.  "do 

Clock,  for  office .[[..W  .\\] do 

Cups,  »ponge do 

Cuspidors \. ..................  .(\o 

Cuspidor,  fountain,  No.  6,  complete,  with  saliva  ejectvr,  floor  connections  for,  and  tahte  dttachmcnt 

white  enamel number 

Cuspidor,  fountain,  No.  G,  extra  bowls  for,  as  required do 

Desk,  office rto"  " 

Engine,  dental,  electric,  folding  bracket,  all-cord,  with  part  A'-.?,  for  B.  F.7 do 

Envilupe  opener do!!!! 

Hi  all  r,  ehctric.  No.  3,  sprat/  bottles  and  water  glass !.!!..!!!  !do! ! ' 

Heater,  electric.  No.  S,  cut-off  No. .',,  with  S  feet  of  tubing,  for  operating  spray  bottles ! ! ! ! !  !do! ! ! ! 

Jars,  large,  for  dressings do 

Looking-glass !.!!!!!!!!!  !do 

Mat,  rubber,  for  dental  chair !.!!!!!!!!!  !do  ! 

Paper  treights ! ! ! !! !do! ! ! ! 

Sterilizer,  electric.  No.  1 « !!!!!!!! !  !do! ! ! ! 

Stamp,  penalty !!!!!!!!!  !do! ! ! ! 

Stool,  ojif  rating,  adjustable,  wliite  enamel do. . ! ! 

Stool,  ri  vol  ring,  white  enamel  (for  laboratory) do!!!! 

Switchboard,  eli  ctric,  type  lA do! ! ! ! 

Syringe,  hot-air,  electric '. !!!.do!!!! 

Tablis,  bedside,  ir  hits  enamel do!!!! 

Table,  pressed  steel,  white.  No.  90,  Harvard,  table  base  to  fit  chair  arm !...!.!!!!!  !do! ! ! ! 

Trays,  aseptic,  enamel,  steel,  12%  by  121  inches do. ! ! ! 

Typewriter do!!! 

Typewriter,  record  ribbons  for,  as  required !!!.!!!!!  !do ! ! 

Water  cooler,  6-gallon do ! ! ! ! 


(i)  LABORATORY  EQUIPMENT. 


A  rticulalor,  No.  9 number. 

Blowpipe,  automaton  > -...do..! 

Bowls,  plaster,  A  and  B,  of  each do!!! 

Bridge  repair  set do.!! 

Bridgorepair  set,  extra  nuts  for !!!!!!!!!!!!!!!!!!!  !do! ! ! 

Brush, laboratory ,  plain,  stiff  bristles,  |  inch do!!! 

Burner,  Bunscn's,  dental,  No.  12,  with  spider  -^ !do! ! ! 

Casting  machine.  Simpler !.do!!! 

Chalk, prepared,  2 pounds,  in  friction  or  sere, v  top  tin tins. 

Cones,  felt,  largo,  blunt  and  pointed,  of  eac'.i number. 

File , gold ,  flat ,  6-inch do... 

File, gold,  half-round,  6-inch do. . . 

File, gold,  round,  G-inch do..! 

Force jis,  inichanieal,  clasp-bending.  No.  8,  McKellop's ' do! . ! 

(lautji ,  jiliite  and  wire do... 

Htniinu r, swaging,  1^  pounds do... 

Hub  mold do. . . 

Investment  compound  (Taggart's),  H  pounds,  in  tin tins. 

A'niii  s.  plaster,  Nos.  6  and  10,  of  each number. 

Liidlr,  milting,  No.  8 do... 

Lump,  aleiihol,  large,  Purdy's do... 

Lathe,  iliciric,  Columbia,  including  7  chucks  and  &wr  chuck do. .. 

Lead,  '.-ixiuiid  ingots ingots. 

Metal,  M.illott's do... 

Molding  corapoimd.^jjouud  tin tins. 

J'lii  rs,  contouring,  No.  1 15,  Crescent number. 

I'lii rs,  riiiitonring.  No.  114,  Johnson do... 

I'liirs,  round-nose.  No.  107 do... 

H  ul)l>cr,  rod pounds. 

Bandpiijicr,  No.  00  to  1,  of  each sheets. 

Saw,  f rami ,  mechanical numtier. 

Saw,  frame,  niwlianical,  extra  blades  for do. . . 

Shears,  Nos.  8,  Ui,  11,  of  each do... 

Soldering  and  heating  outfit,  gasoline  generator,  No.  45,  complete,  less  blowpipe  stand  ' do. . . 

'  Issued  only  to  stations  where  gas  is  not  available. 
-  Usiiod  ouly  to  stations  whore  gas  is  available. 


DENTAL   SUPPLY   TABLES.  267 

Base  ?^(/?^— Conlimied. 
LABORATORY  EQUIPMENT— Continued. 


Soldering  appliance,  Afellott  's,  improved,  with  blowpipe,  pad,  and  damps,  complete number . . 

Spatula ,  plaster,  i-inch ^ ..,. .^.j.  .Qo 

Spatula,  rubber, 4-inch .^.  ..a.~J i...j.^.ao 

Tongs,  soldering,  7-inch ^o 

Trays,  lower  impression,  Nos.  1,3.6, 15, 17, 22, of  each ..■.....^^y.. ....>... -^ao.^~ 

Trays, upper  impression,  Nos.  1,3,5,  IS,  U,  18,of  each  .. .... .^...^AUJiJUiii.  ...■.i...^ao.j.^' 

Tubina,  rubl)er,  i-hich,  heavy  wall,  white ,.......*<.....  -  -c --•-•; ' "  ■?®    ' 

Tmrs,  Nos.  'b,  C,  D.  E,  L,  of  each Vsmi.  .U-f./f .  JlIiLd : number. . 

Vise,  bench,  jeweler's,  i-inch ' '  dn 

Wax,  carver  for,  Roach's w^c'" 

Wax,  inlay,  Taggarfs -  "2„  ^- " 

Wax,  base  plate,  pink,  .\-pound  box -  -  -  ;"p- ; "  • 

Wheels,brush,Nos.3,.i,  li,  b),  24,2.5,ofeach -.■-•,--•;.--■---■- -ViV,;-" -iV,"  """•",;?.  o^hp" 

Wheels!  carborundum,  lathe,  square  edge,  1  and  2  mches  diameter,  -h,  §  inch  width,  grita  C  and  K , 

e      1.  numij6r. . 

Wheels,  carborundum,' iathe^  round  edge, 'u'  arid  2^  inches  diameter,  i,  \,  I  inch  width,  grits  C  and 

E  of  each  number. . 

Wheels,  felt,  square' edge.  No.  3;  round  edge  No.  4;  knife  edge  No.  2,  of  each do. . . . 

Wheels,  polisliing,  chamois  skin,  for  lathe,  diameter  2i  inches do 

Wliclstone,  carborundum,  5-inch -' ^^ 


a 


f 
856.  ADDITIONAL  ARTICLES.  i 

The  following  equipment,  in  addition  to  the  articles  hsted  under 
paragraphs  854  and  855,  ma.y  be  suj^phod  to  general  hospitals  and 
such  important  stations  as  may  be  designated  by  the  Surgeon 
General. 


Burnishe.1,  Tantalum,  double  end,  No.l :-|-----tfJ"lTIUjilJpC*l:""-™'^o^'^"  i         1 

Spatula,  aaate.  .ish's ,-;-■-•■ "V " "r." ■; hnx-Rs" '  4 

Strips,  celhiloid,  thin,  in  box .•--■:-■■ - ^„      "     i    H 

.■^vnthet  ic  porcelain,  Oaulk's,  10  shade,  full  portion,  in  box .do  I     i 

Synthetic  porcelain,  Caulk's,  shade  guide  for uuuiuer. .  , ,  ^  ,..,j. 


in')V(    ki:  ;-t')q<)    Jtl   feOriOJiq 


-'rorrff.t 


ARTICLE  XIX.     FIELD  SUPPLY  TABLES. 

857.  In  the  following  tables  an  attempt  has  hovii  made  to  prescribe 
an  equipment  which  will  meet  the  needs  of  the  Medical  Department 
under  actual  campaign  conditions,  and  at  the  same  time  reduce  the 
wheeled  transport  to  the  minimum  consistent  with  efficiency. 

858.  For  units  normally  functioning  in  the  zone  of  the  advance, 
supplies  have  been  allowed  on  the  basis  of  replenisliment  from  the 
line  of  communications  every  10  days,  as  the  rule,  or  in  extreme 
cases  witliin  20  days. 

859.  The  needs  of  camp,  evacuation,  and  base  hospitals  vary  to 
such  an  extent  under  different  conditions  of  service  that  the  equip- 
ment tables  for  these  organizations  must  be  considered  as  a  guide 
in  their  organization  rather  than  as  an  iron-chad  rule  for  their  future 
administration. 

860.  The  equipment  designations  used  in  the  following  tables  are 
those  prescribed  in  general  orders.  Equipment  "A"  is  the  equip- 
ment prescribed  for  use  in  campaign;  in  simulated  campaign,  or  on 
the  march.  Equipment  "B"  is  the  equipment  which,  in  addition  to 
equipment  "A",  is  prescribed  for  the  use  of  troops  in  mobilization, 
concentration,  instruction,  or  maneuver  camps,  and  during  such 
pauses  in  operations  against  an  enemy  as  permit  the  ])etter  care  of 
troops.  Equipment  "C"  is  the  sum  of  equipments  "A"  and  "B", 
and  therefore  includes  every  article  prescribed  for  field  service. 
Wheeled  transportation  is  provided  for  equipment  "A"  only.  (See 
Appendix,  Equipment:  ''A,"  ''B,"  and  "  6".") 

861.  In  order  that  the  responsible  officers  may  be  informed  of  the 
supplies  included  in  the  different  field  units  as  kept  in  store  in  and 
issued  from  the  depots,  and  for  the  convenience  of  organization  com- 
manders, quartermaster  and  ordnance  supplies  have  been  included 
in  the  equipment  tables.  It  should  be  remembered,  however,  tlmt 
in  the  case  of  quartermaster  supplies  the  allowances  as  given  in 
Equipment  Tables,  Q.  M.  Supplies,  wiU  govern  in  case  of  conflict 
of  statement. 

862.  The  abbreviations  used  under  the  heading  ''Source"  in  the 
different  tables  are  as  follows:  "M"  for  Medical  Department,  "O" 
for  Ordnance  Department,  and  "Q"  for  Quartermaster  Corps. 

863.  Field  supplies  which  are  not  contained  in  chests  or  other  con- 
tainers suitable  for  shipping  will,  as  far  as  practicable,  be  packed  in 
standard  packing  boxes  with  hinged  lids,  hasps,  and  staples.     Each 

268 


FIELD   SUPPLY    TABLES. 


269 


box  will  have  a  list  of  the  contents  on  the  inside  of  the  lid.  It 
should  be  plainly  marked  with  its  serial  number,  its  weight,  and  the 
name  of  the  miit  to  which  it  belongs.  Standard  samples  of  these 
l)Oxes  are  kept  at  the  Field  Medical  Supply  Depot  in  Washington. 

864.      INDIVIDUAL  EQUIPMENT,  INIEDICAL  OFFICER. 


Articles. 


Belt,  web,  medical  ofjicer's ■. number. . 

Case,  instrument  (par.  919) do 

Case,  medicine  (par.  920) do 

Diagnosis  t ags books. .  j 

Flask,  empty,  for  morphine  solution number,  .j 

Syringe,  hypodermic  (par.  956) do : 

SjTinge,  hypodermic,  extra  needles  for do — 

Thermometer,  clinical do 


C. 


Remarks. 


XoTE.— The  articles  included  in  the  above  list  constitute  special  equipment  carried  only  by  medical 
officers  i)eIo\v  the  grade  of  lieutenant  colonel.  Field  equipment  pertaining  to  officers  in  general  is  given 
in  Uniform  Regulations. 

865.      INDIVIDUAL  EQUIPMENT,  HOSPITAL  CORPS. 


Articles. 


Source. 


Remarks. 


(a) 

Belt,  web,  Hospital  Corps number.. 

Belt,  web,   Hospital    Corps,  contents  of  (par. 

907) number. 

Canteen , do — 

Canteen  cover,  dismounted do — 

Fork do. . . 

Hand  ax,  Infantry  i do... 

Hand-ax  carrier do. . . 

Hanger,  double,  iceb,  for  canteen do. .  . 

Knife do. . . 

Meat  can do. . . 

Pouch  for  diagnosis  tags  and  instruments... do.. . 

Eat  ion  bags,  Cavalrv pairs. 

Shelter  tent  half number. . 

Shelter  tent  pole do 

Shelter  tent  pins do — 

Spoon do — 

(^) 

Bar,  mosquito,  single number.. 

Bed  sack do — 

Cot do.... 

Fieldkit,  clothing  component  ^ do — 

Overcoat do 

Surplus  kit- do 

Sweater ...do  — 


^Carried   on   belt   when   dis 
/    mounted:  in  pommel  pock- 
et when  moimted. 


*  1  for  every  2  men. 


Carried    on    the    person    or 

saddle. 
For  winter  use  only. 
Carried  in  surplus  kit  bag. 
When  prescribed  only. 


1  Detachment  commanders  are  authorized  to  reduce,  by  4  inches,  the  length  of  the  handle  of  the  hand 
ax  issued  to  the  Hospital  Corps  providing  the  change  is  made  in  a  workmanlike  manner.  The  shorter 
handle  will  be  especially  necessary  for  use  by  mounted  men. 

2  The  clothing  component  of  the  field  kit  includes  the  clothing  actually  worn  by  the  soldier  and  that 
carried  on  the  person  or  saddle.  This  is  supplemented  by  the  surplus  kit,  the  two  together  constituting 
the  clothing  component  of  the  service  kit.  The  articles  contained  in  each  of  these  kits  are  given  in  general 
orders.    (See  Appendix,  Clothing  a  jjd  Equipment.) 

Note.— The  method  of  packing  the  equipment  for  mounted  and  dismounted  men  is  described  in  Drill 
Regulations  and  Service  Manual  for  Sanitary  Troops. 


270 


MANUAL   FOR   THE   MEDICAL  DEPARTMENT. 


866. 


REGIMENTAI^  COMBAT  EOTJIPMENT. 


•M-M 


:  Articles. 


Ax,  short  MfiAle... number. 

Bag,  no.ir do... 

linff,  va/rr,  sterilizing do. . . 

Bat,  pack  mule,  empty ,  No.  /  (par.  909)..  .do. .. 

BrnKh,  horse do... 

Bucket,  g.i do... 

Candles,  lantern do. . . 

Chest,  medicala/id  surgical  (par.  932) do... 

Covib,currv do... 

Desk, field, 'No.  2  (par.  941) do. . . 

Guidons,  ambulance,  without  staff do. . . 

Lanterns,  folding do. . . 

Litters,  with  siitigs: 

Batdilidii  c)l'  Engineers do. . . 

Ba' talion  of  Signal  Corps do. . . 

Regiment  of  Artillery do... 

Regiment  of  Cavalry do. . . 

Regiment  of  Infantry do... 

Manuals,  A  rmv  Regulations,  etc do. . . 

Saddle,  pack  (par.  9.53) do. . . 

Surgical  dressings  (par.  955) boxes. 

Surgical  dre.mnijs,  ambulance  (par.  954): 

Regiment  of  .\ rtillery do 

Regiment  of  Cavalry do. 

Regiment  of  Infantry do. 

Tentage.  heavy: 

Fly,  icall  tent,  small,  uith  ropes. .  .number. . 

Tent  pins,  small do.. 

Wire  cutters do. . 

Total  weight,  about pounds 

Cubic  space,  about feet 


\ 

B 

C 

Source. 

M 

Q 
Q 
M 

Q 
M 
M 
M 
Q 
M 

Q 
M 

1     ^^ 

"m  " 

M 

Remarks. 

1 
1 
1 
1 
1 
1 
8 
1 
1 
1 

2 

2 
1 

7 
fi 
9 

* 
1 

1 

2 
3 
9 

1 
6 

1 

■  i,i;  <n/  1  !< 

. 

, 

Carried  on  regimental  field 
train.    (See        Appendi.x: 
Equipment.) 

9 

0 

2 

There  is  an  additional  litter 
in  possession  of  each  com- 

1 

pany,  troop,  and  battery. 
When  on  the  march  not  m 

7 

6 

the  immediate  presenfeof 

9 

the  enemy  all  the  litters 
are  carried  on  the  ammu- 
nition wagons.  (See  Tables 
of  Organization.) 
*  In  field  desk  No.  2. 

* 
1 

* 

1 

Contents  only. 
(Carried    on    ammunition 

2 

3 

9 

[    Organization.) 

1 

6 

1 

884 

884 
55 

riFor    infantry.    Figures    for 
/    other  arms  are  somewhat 

55 

1     less. 

867.  Tlie  following  articles  are  not  kept  in  the  depots  as  a  part  of 
the  regimental  combat  equipment,  but  must  ])e  obtained  by  the 
regimental  surgeon  from  the  proper  supply  de23artment  as  indicated 
for  each  item  under  ''Source": 


Articles 


Cover,  mule,  blanket  lined numl)er.. 

Equipments,  horse  (par.  943) do 

Equipments,  individual  (par.  865) do 

Ilalter  and  strap do 

Horses,  riding,  for  enlisted  men do 

Horses,  riding,  for  officers do 


I  'me,  hypochlorite lubes 

}'uU,  pack number. . 

Shoes,  horse,  fitted do. 

Shoes,  mule,  fitted do. 


Source. 


Remarks. 


For  winter  use  only. 

*  Based  on  Tables  "of  Organi- 
zation. 

*  1  for  each  man  of  Hospital 
Corjis.  *i^M.  D.,  g.  M.C., 
andO.  r>. 

For  i)ack  mule. 

*  Based  on  Tallies  of  Organi- 
zation. 

*  I  for  each  captain  or  lie«. 
tenant  not  privately 
mounted. 

*  Kcpleni.-^hcd  by  Q.  AI. 

*  1  fore  and  1  hind  on  each 
mount. 

1  fore  and  1  hind  in  pack. 


Note. — Quartermaster  supplies  for  the  sanitary  personnel,  forage,  rations,  etc.,  are  included  in  the  regi- 
mental allowances  as  published  in  F.quipmenl  Tables,  ti.  M.  Supplies.  (See  Appendix:  Quartermaster 
Supplies.) 


FIELD   SUPPLY   TABLES.  271 

868.        METHOD   OF  PACKINCJ   THE   AID    JSTATIOX  EQUIPMENT.       '*8 

(Carried  on  the  pack  mule.) 


Kight  side: 

Medical  and  surgical  chost uumber . . 

Left  side: 

Ax,  short  handle do 

Box,  pack  mule.  No.  1 do 

Candles,  lantern do 

Guidons,  ambulance,  without  stall do 

Lanterns,  folding do 

Lime,  hypochlorite tubes. . 

Shoes,  niule,  fitted number.. 

Surgical  dressings,  box  of  (contents  only) do 

Wire  cutters , do 


Top 


Bag,  nose do... 

Bag,  water,  sterilizing do. . . 

Brush,  horse do... 

Bucket .  galvanized  iron do. . . 

Comb,  curry do... 

Fly,  wall  tent,  small -do. . . 

Tent  pins,  small do. . . 


Pounds. 
100 


Total  weight . 


Pounds. 
100 


32 


233 


Note.— If  under  exceptional  circumstances  the  pack  mule  is  required  to  keep  pace  with  fast  moving 
ravalry .  the  pack  will  have  to  be  lightened  by  dispensing  with  the  top  load,  otherwise  sore  back  and  exhaus- 
tion of  the  mule  are  almost  certain  to  occur. 


869. 


CAMP  INFIRMARY. 


IVl:. 


Articles 


MEDICINES  AND  ANTISEPTICS. 

Foot  powder  (war.  902) tins. . 

Iodine  swabs,  6  in  a  box boxes.  . 

Spiritus  ammonise   aroraaticus,  i  pound  in 
glass-stopper  bottle bottles . . 

MISCELLANEOUS. 

Alcohol,  denatured,  2  quarts,  in  tin tins. . 

Ba^,  water,  sterilizing number. . 

Basins,  hand do 

Bvxkcts,  galvanized  iron do 

Candles pounds . . 

Case,  emcrgawy  (par.  913) number. . 

Chest,  medical  and  surgical  (par.  932) do 

Chest,  medical  and  surgical,  suiyplcmcrttarij  (par. 

933) number. . 

Corks,  No.  2, 150  in  a  bag bags.. 

De.9k,  field,  No.  2  (par.  941) number. . 

Flag ,  distinguishing ,  Red  Cross do 

Flag,  hal yards  for ,  50 feet do 

Flag,  national,  storm do 

Flag,  staff  for,  comphtc do 

Food,  box  of  {par.  948)* do 

Guidon,  ambulance,  with  staff do 

Lanterns,  without  globes  or  u-icl;s do 

Lanterns,  globes  for,  green do 

Lanterns,  globes  for,  white do. . .. 

Lanterns,  wic'  sfor dozen. . 

Litters,  ivith  slings number. . 

Rope,g-inch feet.. 

Soap,  Ivory cakes. . 

Spade number. . 

Stove,  nkohol do 

Surgicnl  dressings  (par.  955) boxes. . 

Tent,  wall,  complete nimiber. . 

Tow i Is,  hand dozen.. 

Twine,  coarse pounds. . 

Venereiil prophylaxis  unit  (par.  95S). .  .number. . 
Vials,  1-ouuce dozen.. 

Total  weight pounds.. 

Cubic  space feet. . 


100 
100 


i 
1 
1 
1 
2 
I 
1 
1 
1 
2 
2 
4 
1 
2 
100 
10 
1 
1 
2 
1 
2 
1 
1 
6 

840 
41 


100 
100 


1 

2 
100 
10 
1 
1 
2 
1 
2 
1 
1 
6 


Source. 


Remarks. 


(Jther  medicines  and  anti- 
septics are  contained  in 
the  chest,  medical  and 
surgical;  in  the  case,  emer- 
gency: and  in  the  venereal 
prophylaxis  imit.  See  be- 
low under  Miscellaneous. 


1  Quartermaster  bucket  on 
wagon. 


For  emorge.icy  use  only 


840 
41 


272 


MANUAL    FOR    THE    MEDICAL   DEPAETMEXT. 


870.  The  following  articles  are  not  kept  in  the  depots  as  a  part  of 
the  camp  infirmary  equipment,  but  must  be  obtained  from  the  proper 
supply  department  as  indicated  for  each  item  under  "Source." 


Articles. 


Source. 


Remarks. 


Covers,  mule,  blanket-lined number. .         4 

Equipments,  individual,  Hospital  Corps  (par.  1 

865),  number. 

Equipments,  individual,  Quartermaster  Corps,  1 

number. 
Lime,  hypochlorite tubes. .       20 

Afules,  draft number. 

Oil.  mineral quartos. 

Shoe.';,  mule, fitted number.  .■      18 

Wagon,  escort,  and  harness, complete do 1 


For  winter  use  only. 

Ba-sed  on  Tables  of  Organiza- 
tion.   *M.   D.,   Q.    M.  C, 
and  O.  D. 
Do. 

♦Replenished  by  camp  quar- 
termaster. 

Do. 

For    list,    see    Equipment 
Tables,  Q.  M.  Supplies. 


Note. — Heavy  tentage.  forage,  and  other  similar  camp  supplies,  for  use  of  the  pei-sonnel  and  animals  of 
the  camp  infirmary  are  not  included  in  the  above  list  as  they  will  be  provided  for  camp  use  by  the  ambulance 
oompanj-  or  other  organization  to  which  the  infirmary  is  attached  for  rations  and  forage  (par.  660). 

CAMP  INFIRMARY   REfSERVE. 

871.  The  articles  listed  below  do  not  form  a  part  of  the  regidar 
equipment  of  the  camp  infirmary,  but  when  a  camp  infirmary  is  serv- 
ing with  divisional  troops  under  conditions  which,  in  the  opinion  of 
the  division  surgeon,  make  it  necessary  or  desirable  to  have  within 
the  division  an  additional  supply  of  medicines  and  dressings  for  the 
sanitary  troops  on  duty  with  line  organizations  or  for  the  infirmaries 
themselves,  the  following  articles  will  be  procured  on  requisition  and 
carried  on  each  camp  infirmary  wagon.     (See  par.  633  6.) 

These  supplies  belong  in  equipment  ''A." 

MEDICINES  AND   ANTISEPTICS. 


Acetphenetidinum  (Phenacetin),  324-mgm. 
tablets,  500  in  12-ouncetin tins. . 

Acidum  boricum,  324-mgm.  tablets,  700  in 
12-ouncetin tins.. 

Acidum  salicylicum,  324-mgm.  tablets,  400 
in  12-ouncetin tins. . 

-Vlcohol,  3  pints  in  tin do 

Amylis  nitris,  5-drop  spirets,  12  in 
box boxes. . 

Apomorphinae  hydrochloridum,  6-mgm. 
hypodermic  tablets,  20 in  tube tubes. . 

Argenti  nitras,  crystals,  1-ounce  in  bot- 
tle  bottlers.. 

Argenti  nitras  fusus,  1  ounce  in  bot- 
tle   bottles.. 

Aspirin,  324-mgm.  tablets,  500  in  bot- 
tle  bottles.. 

Capsicum,  32-mgm.  tablets,  600  in  3-ounce 
tm tins.. 

Chloralum  hydratum,  324-mgm.  tablets, 
400 in  bottle bottles.. 

Cocainae  hydrochloridum,  10-mgm.  hypo- 
dermic tablets,  20  in  tube tubes.. 

Codeina,  32-mgm.  tablets,  600  in  3-ounce 
tin tins.. 

Collodium,  1  ounce  in  bottle bottles. . 

Emplastrum  belladonnae,  2  yards  by  6 
inches,  in  tin " tins.. 

Foot  powder  (par.  902),  i  pound  in  tin  with 
perforated  cover tins. . 

Glycerinum ,  3  pints  in  tin tins. . 

Heroini  hydrocnioridum,  5.5-mgm.  tablets, 
500  in  3-bunce  tin tins. . 


Hexamethylenamina  (I'rotropin),  324- 
mgm.  tablets,  600  in  12-ounee  tin. .  .tins. . 

Hy drargy ri  chloridum  corrosivum ,  tablets 
(antiseptic)  (par.  902),  250  in  bot- 
tle  bottles.. 

Hvdrargvri  chloridum  mite,  32-mgm.  tab- 
lets, 1,000  in  bottle bottles. . 

Hydrargyriiodidum  flavum,  10-mgm.  tab- 
lets, 7.^0  in  3-ounce  tin tins. . 

Ichthyokim,  3  ounces  in  wide  mouth  bot- 
tle.'.   bottles.. 

Iodine  swabs,  6  in  box boxes. . 

lodum-potassiiiodidum,  in  tubes. .  tubes. . 

Linimentum  rubefaciens,  tablets  (par.  902) 
200 in  12-ounce  tin tins.. 

Macnesii  sulphas,  3  pounds  in  tin ...  do 

Mistura  glycvrrhizae  composita,  tablets 
(par.  902),  3,"6tX1in  12-ounce  tins tins. . 

Morphinae  sulphas,  8-mgm.  hypodermic 
tablets,  20  in  tube tubes. . 

Morphinae  sulphas,  S-mgm.  tablets,  600  in 
3-ounce  tin * tins. . 

Normal  saline  solution  tablets  (par.  902), 
1,')0  in  12-ounce  tin tins.. 

Oleum  ricini.  3  pints  in  tin tins.. 

Oleum  terebinthinae  rectificatum.  3  pints 
rutin tins.. 

Petrolatum ,  in  1 2-ounce  t  in do 

Phenol ,  J  pou  nd  in  bot  tie bott  les . . 

Phenylis"  salicvlas  (Salol),  324-mgm.  tab- 
lets, 500  in  bottle bottles. . 

Piiulae  aloini  compositae  (or  tablets)  (par. 
902),  750  in  3-ounce  tin tins. . 


10 

2 

2 

2 
20 

200 

2 
5 

1 

48 

1 

1 
4 

2 

8 
8 

1 

1 


FIELD  SUPPLY    TABLES. 

Medicines  aiul  (inlltscplivs-'  rontinued. 


273 


Pllulae  camphorae  et  opii  (or  tablets)  (par. 
902),  875  in  12-ounce  tin tins. . 

Pllulae  catharticae  compositae  (or  tablets) 
1,200  in  12-ounce  tin tins. . 

rilulae  ferri  compositae  (or  tablets)  (par. 
902),  1,200 in  12-ounce  tin tins. . 

riunibi  acetas,  130-ingra.  tablets,  000  in  3- 
ouncetin tins. . 

Potassiibroniiduni,324-mgm.  tablets,  500 
in  bottle bottles. . 

Potassiichloras,  324-mgm.  tablets,  1,200  in 
12-ounce  tin tins . . 

Potassiiiodidum,  324-mgm.  tablets,  500  in 
bottle bottles.. 

Potassii  permanganas,  324-mgm.  tablets, 
1,200  in  12-ounce  tin tins. . 

Protargol  (or  ecjuivalent),  1  ounce  in  bot- 
tle  bottles.. 

Pulvis  ipecacuanhae  et  opii,  324-mgm.  tab- 
lets, 700  in  r2-ounce  tin tins . . 

Quininae  hydrochlorosulphas,  32-mgm. 
hypodermic  tablets,  20 in  tube tubes. . 

■Quininae  sulphas,  200-mgm.  tablets,  1,000 
in  12-ounoe  tin tins. . 

Sapo  mollis  (green  soap),  ^  pound  jar  in 
case jars.. 

Sodii  bicarbonas,  324-mgm.  tablets,  1,000 
in  12-ounce  tin tins.. 

Sodii  bicarbonas  et  mentha  piperita,  tab- 
lets (par.  902),  1,000  in  12-ounce  tin.  .tins. . 


Sodii  carbonas  monohydratus,  for  surgical 
use,  i  pound  in  12-ounce  tin tins. . 

Sodii  salicylas,  321-mgm.  tablets,  000  in  12- 
ounce  tin tins. 

Spiritus  ammoniae  aromaticus,  J  pound 
in  glass  stopper  bottle bottles. 

Strychninae  sulphas,  1-mgm.  hypodermic 
tablets,  20  in  tube tubes . 

Sulphur  lotum,  J  pound  in  12-ounce 
tin tins. 

ThymoHs  iodidum  (Aristol),  1  ounce  in 
bottle bottles . 

Tinctura  digitalis,  0.3  c.  c.  tablets,  800. in 
3-ounce  tin tins. 

Tinctura  opii,  i  pound  in  bottle. .  .bottles. 

Trochisci  animonil  chloridi,  3o0  in  12- 
ounce  tin tins. 

Unguentum  hydrargyri,  J  pound  in  wide 
mouth  bottle bottles.. 

Unguentum  hydrargyri  chloridi  mitis,  30 
per  cent,  I  pound  in  wide  mouth  bot- 
tle  bottles.. 

Veronal,  324-mgm.  tablets,  100  in  3-ounce 
tin tins. . 

Zincl  oxidum,  powder,  k  pound  in  12-ounce 
tin '. tins.. 

Zinci  sulphas,  324-mgm.  tablets,  250  in  3- 
ounce  tin tins. . 


2 

2 

8 

36 

1 

2 

1 
4 

4 

1 

2 
2 
1 
1 


MISCELLANEOUS. 


Alcohol,  denatured,  2 quarts  in  tin. .  .tins. . 
First-aid  packets  (par.  944) number. . 


Individual      dressing      packets      (par. 

949) number. 

Surgical  dressings  (  par.  955) boxes. 


1,000 
4 


Weight  1,050  pounds.     Cubic  space  42  feet. 

Note.— The   medicines   and   antiseptics   listed  above  are  identical  with  those  contained  in  boxes 
1,2,3,  and  4,  of  the  field  hospital  (par.  879). 

REGIMENTAL  HOSPITAL. 

872.  The  regimental  hospital,  complete,  consists  of  one  camp 
infirmary  equipment  (pars.  869  and  870)  and  the  additional  articles 
named  below.     (See  pars.  632  and  657.) 


Articles. 


STATIONERY. 

Paper,    manifolding,    letter,    500    sheets    in 

package,  packages. 
Paper,    manifolding,    letter,    perforated,    500 

sheets  in  package,  packages. 
Paper,  typewriter,  letter,  500  sheets  in  package, 

packages. 

BLANK    FORMS,    MEDICAL    DEPARTMENT    (PAR. 
961). 1 

Nos.  51  and  51a,  of  each number. . 

No.  516 do. . . . 

No.  52 do.... 


MISCELLANEOUS. 


Bars,  mosquito number 12  12  M 

Bars,  mosquito,  frames  for pairs 12  12  M 

Bars,  mosquito,  spreaders  for  frames... number 12  12  M 

Bedpan,  enamel  ware  or  agate  ware do 1    1  M 

Bedsacks do....       12    12  M 

1  When  regimental  hospitals  are  issued  intact  this  list  wiU  govern,  but  such  other  Forms  as  may  be  neces- 
sary will  be  furnished  subsequently  as  required, 

93440°— 17 18 


B. 


6 

12 

100 


6 
12 

100 


Source. 


Remarks. 


Used  only  in  time  of  peace  or 
when  the  regimental  hospi- 
tal is  being  operated  as  a 
camp  hospital.  See  pars. 
427  and  575. 


274 


MANUAL   FOR    THE    MEDICAL   DEPARTMENT. 


Articles. 


MiscELLAJfEOus — Continued. 
Blankets,  gray number. . 


Blnnkcfs,  rubber do 

Brooms,  corn do 

Brushes,  scrubbing do... 

Buckets,  enamel  ware,  3  in  nest nests. 

Cases,  bedding,  large,  empty number. 

Chest,  mess  (par.  93-)) do 

Chest,  sterilizer  (par.  935) do 

Corks,  assorted,  300  in  bag ."bags . 

Cots '. number. 

Cotton,  absorbent,  in  roll pounds. 

Gauze,  plain  in  5-yard  roll rolls. 

Pail,  com  mode  (close  stool) number. 

Pajamas,  coats do... 

Peijamas,  trousers do. .. 

Taper,  toilet packages. 

Pillow  sacks number. 

Pins,  common papers. 

Pins,  safety,  3  sizes dozen . 

Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch, 

spools. 
Range,  field.  No.  2 number. 

Sheeting,  rubber yards. , 

Splints,  wire  gauze  for rolls. , 

Tentage,  heavy: 

Canvas,  latrine  screen number. 

Tents ,  hospital,  complete do 

ToweU,  bath do 

Twine,  coarse pounds. 

Typewriter number. 

Typewriters,  record  ribbons  for .do 

Urinals do — 

Vials,  1-ounce ...dozen. 

Vials,  2-ounce dozen. . 


Weight,  without  infirmary pounds. 

Weight  of  infirmary do. . . 

Total  weight do. . . 

Cubic  space,  without  infirmary foot. 

Cubic  space  of  infirmary do... 

Total  cubic  space feet. 


850 


Source. 


Remarks. 


840    1,720 

850 


840   2, 570 


52 


108 
42 


52 


150 


These  should  be  supple- 
mented if  necessary  by 
using  the  blankets  from  the 
patients'  individual  equip- 
ments. 


As  containers  for  bedding, 
pajamas,  etc. 


For  contents  see  Equipment 
Tables,  Q.M.  Supplies. 


See  Note  below. 


None  of  the  articles  listed 
in  par.  870  are  included 
in  these  figures  except 
mineral  oil. 


Note. — Heavy  tentage  and  other  quartermaster  supplies  for  the  use  of  the  sanitary  personnel,  forage, 
rations,  etc., are  included  in  the  regimental  allowances  as  published  in  Equipment  Tables,  Q.  M.  Supplies. 

873.   WEIGHT   CARRIED   BY   CAMP  INFIRMARY  WAGON. 

(Exclusive  of  driver  and  his  individual  equipment.) 


(a)  Camp  Infirmary  Proper. 


Supplies  as  listed  in  pars. 869  and  870 

Sergeant  in  charge,  and  his  individual  equipment 

( Jrain,  4  mules,  3  days 

Rations  (see  par.  660) 


JV.XIf.Tyi/HH' 


Total  weight. 


Pounds. 
8.50 
180 
108 


1,138 


(6)  With  Reserve  Supplies. 


Camp  infirmary  proper 

Reserve  supplies  (par.  871). 


P. 


138 

i;o5o 


Total  weight 

(c)  With  .Vdditional  Supplies  for  Regimental  Hospital. 


2,188 


Camp  infirmary  proper Ji . . . '.  .i. . . 

Equipment  "A,"  (par.  872)' U...\.:,i. 


1,138 


Total  -height: 


'I./ITW, 


a,  018 


•  If  transportation  for  medical  officers'  baggage,  tentage,  forage,  etc.,  is  provided  by  the  regimental  flel 
train  as  required  liy  Kiold  Service  Regulations,  equipment  "B"  (par.  872)  may  also  be  ciirried  withoi 
exceeding  the  maximum  load  for  one  wagon. 


thout 


FIELD    SUPPLY    TABLES. 
AMBULANCE  COMPANY. 


275 


874.  The  following  articles  are  kept  on  hand  in  the  Medical  Depart- 
ment depots  and  will  be  shipped  intact  on  an  ai)proved  requisition 
for  "one  ambulance  company  equipment  (par.  874,  M.  M.  D.)." 
Subsequent  requisitions  for  replenishment  of  these  supplies  must, 
however,  be  forwarded  to  the  proper  supply  department  as  indicated 
for  ea,ch  item  under  "Source." 


Articles. 


A. 


(o)  Medicines  and  Antiseptics. 

Foot  powder  (par.  902),  }  pound  in  tin, 

tins. 

Iodine  swalis,  6  in  box T)oxes. 

Spiritus  ammonia?  aromaficus,  \  pound 

in  glass-stopper  bottle,  bottles. 

(6)  Stationery. 
(See  also  par.  S7.5.) 

Paper,  carbon,  letter,  100  sheets  in  a  1  lox, 

boxes. 
Paper,  manifolding,  letter,  500  sheets  in 

package,  packages. 
Taper,  manifolding,  letter,  perforated, 

500  sheets  in  package,  packages. 
Paper,  typewriter,  letter,  500  sheets  in 

package,  packages. 
Stamp, penalty, rubber,  with  pad,  number. 

(c)  Miscellaneous. 

Alcohol,  denatured,  2  quarts  in  tin. tins . . 

At, short  hnrulle number. . 

Axes,  with  helves do 

Bags,  nose do — 

Bags,  wafer,  pack  mule pairs. . 

Bag,  water,  sterilizing number. . 

Basins,  hand do — 


Blankets,  gray . 


.do... 


Blankets,  rubber do. . . 

Boxes,  pack  mule,  empty,  Nos.  2,  S,  i,  6, 6, 
7,  ana  S  (par.  909)  of  each,  number. 

Brooms,  corn number. 

Brooms,  stable do... 

Brush,  horse do . . . 


Brush,  marking do. .. 

Brushes,  scrubbing do. . . 

Buckets,  galvanized  iron do. . . 

Buckets,  galvanized  iron do . . . 


Bugles,  with  sling do. . . 

Calcium  carbide,  2 pounds  in  tin. .  .tins. 

Candles,  lantern pounds. 

Carborundum  wheel,  with  fixtures,  num- 
ber. 
Cases,  bedding,  small,  empty.... nnmhcr. 

Case,  emergency  (par.  913) do... 

Case,  pocket,  farrier's do. . . 

Chest,  medical  and  surgical  (par.  932)do . . 
Comb,  curry do. . . 


C. 


D.  S.i 


Source. 


10 

., 

1 

1 

fi 

4 

2 

* 

1 

6 

G 

18 

* 

12 

* 

1 

1 

4 

2 

1 

1 

3 

8 

8 

4 

2 

15 

4 

S 

2 

1 

? 

1 

1 

1 

1 

1 

Remarks. 


Other  medicines  and  anti- 
sepl  ics  are  contained  in  the 
chesi ,  medic^il  and  surgical; 
in  the  case,  emergency ;  and 

.  in  the  surgical  dressings, 
boxes  of  (pars.  954  and  955). 


Other  Medical  Department 
stationery  including  Man- 
uals, Army  IJegulations, 
etc.,  is  contained  in  desk, 
field,  No.  2. 


1  additional  on  eacli  wagon. 
4  additional  on  each  wagon 

and  each  ami  )ulance. 
*Used    at    dressing    station 

when  necessary. 
For  use  withchlorinated  lime. 

2  basins,  rubber,  in  medical 
and  surgical  chest. 

*Taken  to  dressing  station  if 
conditions  demand. 
Do. 


For  pack  mules.  1  additional 
on  each  wagon  and  each 
ambulance. 


1  additional  on  each  wagon 
and  each  ambulance. 


Containers  for  blankets. 

See  Note  1. 

For  pack  mules.  1  additional 
on  each  wagon  and  each 
ambulance. 


»  The  supplies  listed  under  this  heading  comprise  that  part  of  the  "A"  equipment  which  is  used  in  estab- 
lishing the  dressing  station. 


276 


MANUAL   FOR   THE   MEDICAL  DEPARTMENT. 


Articles. 


Miscellaneous— Continued. 

Cooking  utcTisils: 
March  kit — 

Cake  turner number. . 

Cans,  water,  nested do 

Cleaver do 

Dipper,  large do — 

Fire  irons sets. . 

Fork,  meat,  large numher.. 

Kettles,  camp,  uilh  covers,  .do 

Knife,  meat,  large do 

Pans,  bake do 

Corks,  No.  7,  for  alcohol  tins do 

Deck,  field,  i\'o.  .' (par.  941) do 

First-aid  packets  (par.  944) do 

flag,  dislinfiniahirtg.  Red  Cross do 

Flag,  hnhjards  for,  50-foot do 

Flag,  vniionnl,  storm do 

Flag,  staff  for,  complete do 

Food,  a mbulance  boxes  of  ( par.  947)  .do 

Food,  boxes  of  (par.  948) do 

Forge,  portable do 

Forks,  stable do 

Cilobes,  lantern  (see  Lanterns,  globes  for). 
Guidons,     ambulance,      without     staff, 

number. 
Guidon  and  standard  carrier number. . 

Head  nets,  mosquito do 

Horseshoer's  emergency  equipment,  .do 

Iniiividual  dressing  packets  (par.  949), 
nunil>er. 

Iron,  bar,  assorted pounds. . 

Irons,  branding,  hoof,  set number. . 

Jack,  wagon do 

Lampblack pounds. . 

Lamps,  acetylene number. . 

Lanterns,  without  globes  or  wicks do 

Lanterns,  without  globes  or  nicks.. do 


Lanterns,  folding do. . . 

Lanterns,  globes  for,  green do. . . 

Lanterns,  globes  for,  white do... 

Lanterns,  globes  for,  white do. . . 

Lanterns,  wicks  for do. . . 

Lantern.s,  wicks  for do. . . 

Leather,  harness,  black poimds. 

Litters,  canvas  for pieces. 

Litters,    tacks    for,     75    in     package, 

packages. 
Litters,  with  slings number. 

Marking  outfit,  for  leather,  model  1910, 

number. 
Marking  outfit,  for  metal,   model  1910, 

number. 
Matches,  safety boxes. . 

Medicines    and    dressings,    veterinary, 

pounds. 

Nails,  assorted pounds. . 

Nails,  horseshoe do 

Needle.s,  harness,  assorted papers. . 

Oil,  sperm pmts.. 

Pannier,  veterinary number. . 

Paper,  toilet packages. . 

Paulin,  large number. . 

Pickaxes,  with  helves do 

I'istol  ball-cartridges,  caliber  .45,  model 

1911,  number. 
Pistol  belts,  model  1912,  without  saber  ring, 

number. 

Pistol  holsters number. . 

Pistols,  automatic,  caliber  45,  model  1911, 

number. 

Pistols,  magazirusfor,  extra number. . 

Pot,  marking do 

Rakes,  steel do 

Range,  field.  No.  1,  complete do 

Kivels    and    burrs,    copper,    assorted, 

pounds. 


1 
2 
1 
1 
1 
1 
3 
1 
5 
24 
1 
500 
1 
2 
1 
1 
12 

3 
1 


12 

1 

8 

1 

1,000 


15 


2 
252 


1 
2 
1 
1 
1 
1 
3 
1 
5 

24 
1 
500 
1 
2 
1 
1 

12 

3 
1 

4 


8 

1 

1,000 

60 
1 
1 
1 
6 
5 
3 


D.S. 


75 

33 

7 

1 

1 

10 

1 

6 

252 

12 

12 
12 

24 
1 
4 
1 


20 


Source, 


Remarks. 


Additional  cooking  utensils 

are    contained    In    range 

No.  1. 
1   wall    tent   fly   is  allowed 

for  kitchen  purposes.    See 

Tcntage,  heavy. 


To  be  used  only  for  sick  and 
wounded. 
Do. 


1  guidon  ioith  staff  on  each 

ambulance. 
May  be  used  with  saddle  of 

any  model. 

See  Note  1,  par.  875. 


1  additional  on  each  wagon 
and  2  additional  on  each 
ambulance. 


For  repair  of  Q-  M.  harness. 
For  repair  of  litters. 
Do. 

4  additional  on  each  ambu- 
lance. 


*12  in  each  ambulance  bo.x  of 

food. 
See  Note  1,  par.  875. 

Do. 

Do. 

Do. 

1  additional  on  each  wagon. 


See  Note  1,  par.  875. 
Do. 


PTELD  SUPPLY   TABLES. 


277 


Articles. 


Miscellaneous— Continued. 

Rope,  picket-line,  J-incft feet. 

Rope,  I  inch <lo. . . 

Saddleii,  pack  (par.  953) number. 

Shoe.s,  horse  and  mule,  extra: 

Horse pounds. 

Mule do . . . 

Soap,  Ivory rakes . 

Spades.. number. 

Spoons,  serving do. . . 

Stendl  outfit do. .. 

Stick,  size,  shoe do. . . 

Stoves,  alcohol do. . . 

Stretcher,  shoe do. . . 

Surgical  dressings  (par.  955) bo.xes. 


Surgical     dressings,     ambulance     (par. 

954) l)0xes. 

Tags,  diagnosis books . 


Tape  measure,  foot number. . 

Tentage,  heavy: 

Canvas,  latrine  screen do 

Flies,  wall  tent,  small,  with  ropes, 
number. 

Fly,  wall  tent* number. . 

Tent  pins,  small,  extra do 

Tents,  pyramidal,  large,  complete, 
number. 

Tents,  wall,  small,  complete. mxmh&c.. 

Thread,  saddler's,  assorted pounds. . 

Tools,  farrier's  and  blacksmith's; 

Kit*. number. 

Set do... 

Tools,  saddler's: 

Kit* number. 

Set do... 

Tools,  wheelwright's  and  carpenter's: 

Kit* number. 

Set do... 

Towels,  dish do . . . 

Towels,  hand do. . . 

Twine,  coarse poimds. 

Typewriter number. 

Typewriters,  record  ribbons  tor. .  .do. . . 
Wa.x,  .saddler's pounds. 

Wire  cutters number. 


Weight,  packed pounds. 

Cubic  space,  packed feet. 


205 

1.50 

4 

18 

64 

18 

2 

2 


36 

128 


5,840 
280 


205 
150 

4 

54 
192 

18 
6 
2 
1 
1 
2 
1 

12 


4,400 
210 


D.S. 


10,240 
490 


Source. 


Q 
M 


Bemarks. 


1  additional  on  each  wagon. 
For  marking  cloth  or  canvas. 


In  1  ime  of  peace  only  4  boxes 
will  be  taken  into  the  field. 

(See  par.  633!).) 

*  10  in  each  box  of  surgical 
dressings  (par.  955). 


*  For  kitchen. 


See  Note  1 ,  par.  875. 

Do. 
*Part  of  set. 
♦Less  kit. 

See  Note  l.par.  875. 
♦Part  of  set. 
♦Less  kit. 

See  Note  l.par.  875. 
♦Part  of  set. 
♦Less  kit. 

6  additional  in  medical  and 
surgical  chest. 


One  additional  on  each  am- 
bulance. 

\These  figures  Include  12  boxes 
/    surgical  dressings  (par.  955). 


875.  The  following  articles  are  not  kept  in  store  by  the  Medical 
Department.  In  organizing  an  ambulance  company,  or  in  making 
subsequent  requisitions  for  replenishment,  these  articles  must  be 
obtained  from  the  proper  supply  department  as  indicated  for  each 
item  under  "Source." 


Articles. 

A 

B 

c 

D.S.i 

Source. 

Remarks. 

M 

Tentative  only. 

A  mbulances,  with  harness. 

Bags,  surplus  kit 

Barber  kit 

Calks,  toe,  horseshoe 

Candles 

Coal,  smithing 

complete. do 

do    . 

12 

* 
50 

12 

* 

1 

* 
** 

75 

Q 

Q 

* 

Q 
Q 

Q 

See  Note  1.  There  should  be 
4  Medical  Department  lit- 
ters on  each  ambulance. 

♦Based  on  Tables  of  Organi- 

 do.... 

do.... 

pounds.. 

do.... 

1 

* 
* 

25 

zation. 
♦Purchased    from   company 

fund.    See  Note  1. 
♦Supplied  when  necessary. 
♦10  days'  supply.    See  Army 

Regulations.   ♦♦See  Note  2. 

1  The  supplies  listed  under  this  heading  comprise  that  part  of  the  "A"  equipment  which  is  used  in  estab- 
lishing the  dressing  station. 


278 


MANUAL   FOR  THE   MEDICAL  DEPARTMENT. 


Articles. 


Covers,  mule,  hlariket-lined number. . 

Equipments,  horse  (par.  943) do 

Equipments,  individual,   Hospital  Corps 
(par.  ,S6.5),  number. 

Equipments,    individual.    Quartermaster 
Cordis,  number. 

Forage 


Guidon,  amtmlance  company  {hunting), 

with  staff,  numl)er. 
Halters  and  straps number. 


Horses,  riding,  for  enlisted  men do..'. 

Horses,  riding,  for  officers do . . . 

Lime,  hypochlorite tubes. . 

Matches,  safety bo.xes. . 

Mules,  draft number. . 

Mules,  pad: do. . . 

Oil,  mineral gallons. 

Oil,  neat  's-foot pints. . 

Rations: 

Field number. 

Keserve do. .. 

Salt,  rock. . .  1 pounds. 

Shoes,  horse  and  mule,  fitted: 

Horses,  riding number. . 

Mules,  draft do 

Mules,  pack do — 

Soap pounds. . 

Stationery,  field  desk,  allowance 

Stoves,  tent,  with  pipe  and  other  accessories . 


Wagons,  escort,  with  harness,  complete 
number. 


SO 
24 
60 
4 
*36 


15 

36 

240 

8 
16 


D.S. 


Source. 


36 
240 


Q 

Q 

Q 

Q 
Q 
Q 
Q 


Remarks. 


For  winter  use  oply. ,  Addi- 
tional covers  on  wagons 
and  ambulauces. 

*Based  on  Tables  of  Organ  i- 
zalioii. 

*1  for  each  man  of  Hospital 
Corps.  ='*M.  D.,Q.  M.  C, 
and  O.  I). 

*1  for  each  man  of  Quarter- 
master Corps.  **M.  D., 
Q.  M.  C,  and  O.  D. 

*See  Army  Regulations  and 
Field  Service  Regulatiou.s. 
**SpeNote2. 


For  pae'k  mules.  4  add  it  ional 
on  each  wagon  and  each 
ambulance. 

♦Based  on  Tables  of  Organi- 
zation. 

*1  for  each  captain  or  lieu- 
tenant not  privately 
mounted. 


supply.    **See 


*See  Note  2. 
Do. 


*10      days' 

Note  2. 
*See  Note  2. 


*See  Field   Service  Regula- 
tions.   **See  Note  2. 

*See  Note  2. 

1  fore  and  1  hind  on  each 

mount. 
4  fitted  shoes  in  wagons  and 

ambulances  for  each  mule. 
1  fore  and  1  hind  in  each  pack. 
*See  Note  2. 
*See  Note  1. 
When  prescribed  only.    *For 

allowance,  see  Equipment 

Tables  Q.  M.  Supplies. 
Do. 


Note  1.— For  list  of  contents  consult  Equipment  Tables,  Q.  M.  Supplies. 

Note  2  —A  lO  days'  supply  of  this  article  will  be  taken  to  the  field  by  organizations.  The  additional 
amount  authorized  by  regulations  for  camp  use  will  be  furnished  by  the  camp  quartermaster. 

876.  If  an  ambulance  company  is  to  be  entrained,  with  personnel 
and  transportation  at  war  strength  and  "C"  supplies  complete,  a 
railway  train  composed  of  3  tourist  (or  standard)  sleeping  cars  (or 
1  tourist  sleeper  and  1  day  coach),  1  kitchen  car,  1  baggage  (or  box) 
car,  5  standard  stock  cars,  and  5  flat  cars  will  be  required. 

Note.— In  making  calculations  for  transportation,  the  capacity  of  average  cars  of  different  classes  may 
be  taken  as  follows:  I'ullman,  28  officers;  tourist  sleepers,  42  men;  day  coaches,  54  men,  allowing  A  men 
to  each  2  seats  (for  short  journeys  72  men  may  be  carried);  stock  cars,  18  to  20  animals;  box  cars,  40.000  to 
80,000  pounds,  but  in  must  cases  the  load  will  l>o  limited  by  the  bulk  (ordinary  boxcar  is  .U)X>.\^  feet, 
2,304  cubic  feet);  flat  cars,  ;!  wagons  or  :'.  ambulances,  or  0  ainl)ulances  knocked  down  but  tops  not 
removed. 

877.  Articles  used  in  camp  only,  sucli  as  garbage  cans,  crude  oil, 
lime,  straw,  etc.,  are  supplied  by  the  camp  ciuartermastor  and  wilj 
not  be  taken  to  the  field  by  organizations.  The  allowances  are 
specified  in  Equipment  Tables,  Q.  M.  Supplies. 


FIELD   SUPPLY    TABLES, 


27Q 


878.    MEJTHOD   OF  PACKING   THE  DRESSING   STATION  EQUIPMENT. 


Right  side:  ^^u^E  No.  1. 

Medical  and  surgical  chest , uuniber..  1 

Left  side:  ■ ' '      •  ' 

Ax '...,,„_,.., do 1 

Box,  pack  mule.  No.  2 .'i.^l.  ;•.'".. ..'. do 1 

I         Alcohol,  denatured tins. .  2 

Basins,  hand number..  6 

Calcium  carbide tins . .  4 

Candles pounds. .  2 

Corks,  extra,  for  alcohol  tins number. .  6 

Guidons,  without  stafT do 6 

Lami)s,  acetylene do 0 

Lanterns,  folding do 8 

Lime,  hypochlorite tubes. .  5 

Paper,  toilet packages. .  .'i 

Rope,  I  inch feet.  .50 

Soap,  Ivorv cakes. .  ti 

Tent  pins,  short number. .  12 

Twine,  coarse lialls. .  1 

^\■  ire  cutters number. .  1 


Pounds. 

100 


Top: 


Buckets,  galvanized- iron do  —  0 

Bags,  water,  pack  mule pairs. .  1 


Total  weight . 


Right  side:  MULE  No.  2. 

Box,  pack  mule.  No.  3 number. .  1 

.  I. ...        Surgical  dressings,  box  of  (contents  only) do 1 

Towels,  hand do 6 

Left  side: 

Box,  pack  mule,  No.  4 do 1 

Surgical  dressings,  box  of  (contents  only) do —  1 

Towels,  hand do —  6 

Top: 

Blankets  gray do —  6 

Blankets,  rubber do  —  3 


Total  weight . 


Right  side:  MULE  No.  3. 

Box,  pack  mule.  No.  5 number..  1 

Surgical  dressings,  box  of  (contents  only) do  —  1 

Towels,  hand do —  6 

Left  side: 

Box,  pack  mule.  No.  6.. do —  1 

Surgical  dressings,  box  of  (contents  only) do —  l 

Towels,  hand do  —  6 

Top: 

Blankets,  gray , do. ...  6 

Blankets,  rubber ; do. ...  3 


Total  weight . 


Right  side:  MULE  No.  4. 

Box,  pack  mule.  No,  7 number. 

Bucket,  galvanized-iron.. do... 

Food,  box  of  (contents  only) , — do... 

Spoon,  serving do. .. 

Stove,  alcohol do . . . 

Left  side: 

Box,  pack  mule,  No.  8 do 

Bucket,  galvanized-iron do — 

Food,  box  of  (contents  only) do. . . 

.  '         Spoon,  serving do — 

Stove,  alcohol do  — 


Top 


Tent  flies,  wall,  small do. 


Total  weight . 


Pounds 


100 
40 


92 

92 

60 
234 


108 


106 
34 


246 


1  The  water  bag  should  be  carried  in  the  top  bucket.  If  it  is  wrapped  around  the  buckets, serious  injury 
to  the  bag  will  result. 

Note  1.  -On  the  march,  not  in  the  presence  of  the  enemy,  blankets,  both  woolen  and  rubber,  are 
habitually  carried  on  the  ambulance  company  combat  wagon.  On  long  marches,  under  similar  condi- 
tions, the  other  top  loads  may  also  be  carried  in  an  accessible  plafe  on  the  combat  wagon.  When  the 
dressing  station  party  is  about  to  separate  from  the  wheeled  transportation,  the  top  loads  of  mules  Nos. 
1  and  4,  and  if  necessary  those  of  mules  Nos.  2  and  3.  may  be  quickly  put  in  place  on  the  mules. 

Note  2.— .\s  the  weights  of  the  boxes  are  changed  by  expenditure  of  their  contents,  readjustment  must  be 
made  in  order  to  maintain  the  riglit  and  left  loads  of  each  mule  at  approximately  the  same  weight.  Sore 
backs  will  certainly  be  produced  if  this  precaution  is  neglected. 


280  MANUAL   FOR    THE   MEDICAL  DEPARTMENT. 

FIELD   HOSPITAL.. 

879.  The  following  articles  are  kept  on  hand  in  the  Medical  Depart- 
ment depots  and  will  be  shipped  intact  on  an  approved  requisition 
for  "one  field  hospital  equipment  (par.  879,  M.  M.  D.)."  Subsequent 
requisitions  for  replenishment  of  these  supplies  must,  however,  be 
forwarded  to  the  proper  supply  department  as  indicated  for  each  item 
under  "Source." 


PacV- 
Nb.i 


Articles. 


(o)  Medicines  and  antiseptics. 

Acetphenetidinum  (Phenacetin),  324- 

mgni.  tablets,  500  in  12-ounce  tin,  tins. 
Acidum  boricum,  .■)24-mgm.  tablets,  700 

in  12-ounce  tin,  tins. 
Acidum  salieylic-um,  32-1-mgm.  tablets, 

■100  in  l2-oirnce  tin,  tins. 
Adrenalin  ehlorid,  l-mgm.  tablets,  20  in 

tube,  tubes. 

Aether,  J  pound  in  tin tins.. 

Alcohol,  3  jjints  in  tin do  — 

Amylis  nitris,  5-drop  spirets,  12  in  box, 
boxes. 

Apomorphinae  hydrochloridum,  6- 
nigm.  hypodermic  tablets, 20ln  tube, 
tubes. 

Argenti  nitras,  crystals,  1  ounce  in  bot- 
tle, bottles. 

Argenti  nitras  tusus,  1  ounce  in  bottle, 
bottles. 

Argyrol,  1  ounce  in  bottle bottles. . 

Arseni  trioxidum,  l-mgm.  tablets,  500 
in  3-ounce  tin,  tins. 

Aspirin,  324-mgm.  tablets,500  in  bottle, 
bottles. 

Atropinae  sulphas,  0.fi5-mgm.  hypoder- 
mic tablets,  20  in  tube,  tubes. 

Bismuthi  subnitras,  324-mgm.  tablets, 
700  in  12-ounce  tin,  tins. 

Caft'eina  citrala,  65-mgm.  tablets,  250  in 
bottle,  bottles. 

Capsicum,  32;mgm.  tablets,  600  In  3- 
ounce  tin,  tins. 

Chloralum  hvdratura,  324-mgm.  tablets, 
400  in  bottle,  bottles. 

Chloroforraum,  1  pound  in  tin — tins. . 


Cocainae  hydrochloridum,  10-mgm.  hy- 
podermic tablets,  20  in  tube,  tubes. 

CcKleina,  32-mgm.  tablets,  600  in  3-ounce 
tin,  tins. 

Collodium,  1  ounce  in  bottle. . .bottles. . 

Digitalinum,  l-mgm.  hypodermic  tab- 
lets, 20  in  tube,  tubes. 

Emetinae  hydrochloridum,  22-mgm. 
hypodermic  tablets,  20  in  tube,  tubes. 

Emplastrum  belladoimae,  2  yards  by  6 
inches  in  tin,  tins. 

Emplastrum,  cantharidis,  1  yard  by  6 
inches  in  tin,  tine. 

Foot  powder  (par.  002),  }  pound  in  tin 
with  perforated  cover,  tins. 

Glycerinum,  3  pints  in  tin tins. . 

Heroini  hydrochloridum,  5.5-mgm.  tab- 
lets. 500  in  3-ounce  tin,  tins. 

Hexamethylenamina  (Urotropin),  .324- 
mgm.  tablets,  tiOOin  12-ounce  tin,  tins. 


20 


144 


M 


M 


Remarks. 


1  additional  in  each  medical 
and  siu'gical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

*5  in  each  medical  and  surgi- 
cal chest. 

1 12-ounee  bottle  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

3  additional  in  each  me<lical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

*1  in  supplementary  chest. 
Do. 

1  additional  in  supplemen- 
tary chest. 

*7  in  each  medical  and  surgi- 
cal chest. 

*2  in  each  medical  and  surgi- 
cal chest. 

*1  in  supplementary  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

3  additional  in  each  medical 
and  surgical  chest,  12  addi- 
tional in  supplementary 
chest. 

7  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

2  additional  in  supplemen- 
tiry  chest. 

*5  in  "each  medical  and  surgi- 
cal chest. 
Do. 

1  additional  in  supplemen- 
tary chest. 
*1  in  "supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

J  pint  additional  in  supple- 
nient:iry  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 


«  As  shipped  from  the  supply  depots  the  boxes,  bundles,  and  other  packages  comprising  the  "A"  equip- 
ment of  the'  fii'lil  liospital  arc  liu inhered  from  1  upward  in  a  single  series.  So  far  as  practicable  this  method 
of  packing  should  hc.outiiiiuMl  iuthetield.  Tu  lind  any  of  the  smaller  articles  it  will  then  only  be  necessary 
to  refer  to  the  serial  number  of  its  container  as  given  in  this  column. 


FIELD   SUPPLY   TABLES. 


281 


Pack- 
age 
No. 


Articles. 


Medicines  and  antiseptics— Contd. 

Hv(irarc\T-i  chloridum  corrosivum,  tab- 
lets (antiseptic)  (par.  902),  250  m  bot- 
tle, bottles.  .       „,       _ 
Hydrarcyri  chloridum  mite,  32-mgm. 

tablets,  1,000  in  bottle,  bottles. 
HydrarsjTi  iodiduiu  tlavum,  10-mgm. 

tablets,  750  in  :i-oimce  tin,  tins. 
Hyoscinae  liydrobromidum,  O.tio-mgm. 
hvpodennic  tablets,  20  in  tube,  tubes. 
Iclithyolum  3  ounces  in  wide-moutli 
bottle,  bottles. 

Iodine  swabs,  t>  in  box ■  ■  -  boxes. . 

lodum-potassii     iodiduin,     in     tube, 

tubes.  .  ,  ,  ^    , 

Linimentum  rubefaciens,  tablets  (par. 

902),  200  in  12-ounce  tin,  tins. 
Mainiesii sulphas,  3  pounds  in  tin.  .tins. . 
Mistura  glvcyrrhizae  composita,  tab- 
lets (par."  902),  3,600  in  12-ounce  tm, 
tins.  ,  , 

Morphinae  sulphas,  S-mgm.  hypoder- 
mic tablets,  20  in  tube,  tubes 
Morphinae  sulphas,  8-mgm.  tablets,  600 

in  3-ounce  tin,  tins. 
Nitroglycerin,  0.ti5-mgm.  hypodermic 

tablets,  20  in  tube,  tubes. 
Normal  saline  solution  tablets  (par  .902) , 
150  in  12-ouuce  tin,  tins. 

Oleum  ricini,  3  pints  in  tin tms 

Oleum   terebinthinae  rectificatum,    3 

pintsin  tin,  tins. 
Oleum  theobromatis,  h  pound  in  12- 
ounce  tin,  tins. 
Petrolatum,  in  12-ounce  tin tms. 

Phenol,  i  pound  in  bottle bottles. . 


Phenylis    salicylas   (Salol),  324-mgm 

tablets,  500  in  bottle,  bottles. 
Pilulae  aloini  compositae  (or  tablets) 

(par.  902),  750  in  3-ounce  tin,  tins. 
Pilulae  camphorae  et  opii  (or  tablets) 

(par.  902),  875  in  12-ounce  tin,  tins. 
Pilulae  catharticae  compositae  (or  tab- 
lets), 1,200  in  12-ounce  tin,  tins. 
Pilulae  ferri  compositae  (or  tablets) 

(par  902),  1,200  in  12-ounce  tin,  tins. 
Plumbi  a-^etas,  130-mgm.  tablets,  600 

in  3-ounce  tin,  tin?.  ,  , ,  , 

Potassii  bromidum,  324-mgm.  tablets, 

500  in  bottle,  bottles. 
Potassiichloras.  324-mgm.  tablets,  1,200 

inl2-ounr>tin,t5ns. 
Potassii  iodidum,  324-mgm.  tablets,  aOO 
in  bottle,  bottles.  *  , ,  * 

Potassii  permanganas,324-mgm.  tablets, 

1,200  in  12-ounce  tin,  tins. 
Protargol  (or  equivalent),  1  ounce  m 

bottle,  bottles.  .. 

Pulvis  ipecacuanhae  et  opii,  324-mgm. 

tablets,  700  in  12-ounce  tin,  tins. 
Quininaehydrochlorosulphas,32-mgm. 
hypodermic  tablets,  20  in  tube,  tubes 
Quininae  sulphas,  200-mgm.   tablets, 

1,000  in  12-ounce  tin,  tins. 
Sapo  mollis  (green  soap) ,  i-pound  jar  in 

case,  jars.  . 

Serum  antidiphthericum,  as  required. . 
Serum  antitetanicum,  as  required .  . . . . 
1     Sodii   bicarbonas,    324-mgm.    tablets, 

1,000  in  12-ounce  tin,  tins. 
1     Sodii  bicarbonas  et  mentha  piperita, 
tablets  (par.  902),  1,000  in  12-ounce  tm, 
tins. 
1     Sodii  carbonas  monohydratus.  forsurgi- 
cal  use,  h  pound  in  12-ounce  tin,  tins. 
1     Sodii  salicylas,  324-mgm.  tablets,  600  m 
I      12-ounce  tin,  tins. 


C.      Source. 


20 
200 


48 


20 


10 


20 
200 


20 


Remarks. 


M 
M 
M 
M 

M 

M 


1  tin  additional  in  each  medi- 
cal and  siugical  chest.. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

*3  in  each  medical  and  surgi- 
cal chest. 

1  additional  in  supplemen- 
tary chest. 

20  additional  in  each  medical 

and  surgical  chest. 
1  additional  in  each  medical 
and  surgical  chest. 
Do. 
Do. 


M 
M 
M 

M 

M 
M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 
M 
M 


45  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

*8  in  each  medical  and  surgi- 
cal chest. 

1  additional  in  supplemen- 

tary chest. 
Do. 
Do. 

*1  in  supplementary  chest. 

2  additional  in  each  medical 
and  surgical  chest. 

1  additi<^nal  in  each  medical 
and  surgical  chest,  and  4 
additional     in     sterilizer 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplement- 
ary chest. 

10  additional  in  each  medical 

and  surgical  chest. 
3  additional  in  each  medical 

and  surgical  chest. 

2  additionalin  sterilizerchest. 


1  additional  in  supplemen- 
tary chest. 
Do. 


Do. 

1  additional  in  each  medical 
and  surgical  chest. 


m 


MANUAL    FOR    THE    MEDICAL   DEPARTMENT. 


Pack- 
age 
No. 


25 


Articles. 


Medicines  and  antiseptics — Contd. 

Spiritus  ammoniae  aromaticus,  I  pound 
in  glass-stopper  Ijoltle,  bottles. 

Spiritus  frumenti,  1  quart  in  bottle, 
bottles. 

Strychninae  sulphas,  1-mgm.  hypoder- 
mic tablets,  20  in  tube,  tul)es." 

Sulphur  lotum,  J  pound  in  12-ounce  tin, 
tins. 

Thymolis  iodidum  (Aristol),  1  ounce  in 
bottle,  bottles. 

Tinctura  digitalis,  0.3  e.c.  tablets,  800 
in  .'i-ounce  tin,  tins. 

Tinctura opii,  i  pound  in  bottle. bottles. 

Trochlsci  ammonii  chloridi,  3.50  in  12- 
ounce  tin,  tins. 

Unguentum  hydrargyri,  i  pound  in 
wide-mouth  bottle,  bottles. 

Unguentum  hydrargyri  chloridi  mitis, 
30  per  cent,  h  pound  in  wide-mouth 
bottle,  bottles. 

Vaccine,  smallpo.x,  as  required 

Vaccine,  typhoid,  as  required 

Veronal,  324-mgm.  tablets,  100  in  3- 
ouncf  tin,  tins. 

Veterinary  medicines  (See  Medicines, 
veterinary,  under  Miscellaneous.) 

Zinci  oxidiim,  powder,  i  pound  in  12- 
ounce  tin,  tins. 

Zinci  sulphas,  324-mgm.  tablets,  250  in 
3-ounce  tin,  tins. 

(6)  Stationery. 

(See  also  par.  880.) 

Books,  blank,  8-vo number. . 

Books,  note,  manifolding,  ^hy  6  inches, 
binders,  number. 

Books,  note,  manifolding,  4  by  6  inches, 
fillers,  number. 

Labels  for  vials gross. 

Labels,  poison dozen. 

Manuals,  Army  Regulations,  etc 


Paper,  carbon,  letter,  100  sheets  In  box, 

boxes. 
Paper,  manifolding,  cap,  250  sheets  In 

package,  packages. 
Paper,  manifolding,  letter,  600  sheets  In 

package,  packages. 
Paper,  manifolding,  letter,  perforated, 

500  sheets  in  package,  packages.    • 
Paper,  typewTiter,  cap,  250  sheets  in 

package,  packages. 
Paper,  typewriter,  letter,  500  sheets  in 

package,  packages. 
Stamp,    penalty,    rubber,    with    pad, 

number. 

(e)  Miscellaneous. 

Alcohol,  denatured,  2  quarts  in  tin, 

tins. 
Aprons,  rubber numt)er. 


Atomizer,  hand do... 

Aies,  with  helves do... 

Bags,   rubber,   hot  water  and  syringe, 
number. 


Bags,  water,  sterilizing numl)er. 

Bandages,  flannel,  3-ineh  roller,  .dozen. . 


Source. 


Remarks. 


2  additional  in  supplemen- 
tary chest. 

5  pint  additional  in  supple- 
mentary chest. 

20  additional  in  each  medical 
and  surgical  chest. 

1  additional   in  supplemen- 
tary chest. 

Filleii  sprinkler  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 
Do. 


Do. 


1  additional  in  each  medical 
and  surgical  chest. 


1  additional  in  supplemen- 
tary chest. 


Do. 
Do. 


*1  in  each  medical  and  surgi- 
cal chest. 
*5  in  field  desk   No.  1,  1  in 
each  medical  and  surgical 

*10  In  field  desk  No.  1.  1  in 

each  medical  and  surgical 

chest, 
i  gross  additional  in  each 

medical  and  surgical  chest. 
*3  dozen  in  each  medical  and 

surgical  chest. 
♦Contained    in  field    desk 

No.  1. 
1  box  In  field  desk  No.  1, 


*1  in  field  desk  No.  L 


*2  in  each  medical  and  surgi- 
cal chest,  6  in  sterilizer 
chest. 

*1  in  supplementary  chest. 

1  additioual  on  each  wagon. 

1  additional  in  eacti  medical 
and  surgical  chest,  2  addi- 
tional in  supplementary 
cliest. 

For  use  with  calcium  hypo- 
chlorite. 


FIELD   SUPPLY    TABLES. 


ass 


Articles. 


Miscellaneous— Continued. 

Bandages,  gauze,  compressed,  3  sizes,  1 
gross  in  box,  boxes. 

Bandages,  plaster  of  Paris,  .3-inch,  indi- 
vidual packets,  dozen. 

Bandages,  rubber,  Hariin number. 

Bandages,  suspensory dozen. 

Basins,  hand niunber. 

Bedpans,  box  of  {par.  900) do... 

Bedsacks do. . . 

Blankets,  gray do. . . 

Blankets,  rubber do. . . 

Bougies,  neiible,  Nos.  //,  13,  15,  17,  SO, 

Si.  French  scale,  number. 
Boxes,  folding,  for  tablets gross. 

Boxes,  ointment,  3  in  nest nests. 

Brooms,  com number. 

Broom,  stable do... 

Brushes,  hand,  fiber do. . . 


Brush,  marking do — 

Brushes,  scrubbing do — 

Buckets,  enamel  ware,  3  in  nest,  .nests. . 

Buckets,  galvanized-iron number. . 

Buckets,  galvanized-iron do 

Bugles,  with  sling do  — 

Calcium  carbide,   10  pounds  in  tin, 
tins. 

Candles pounds. . 

Canvas,  12.4  ounces yards.. 

Cases,  bedding,  large ,  empty .. .nnmheT . . 

Cases,  bedding,  small,  empty do  — 

Cases,  emergency  (par.  913) do  — 

Cases ,  forceps ,  hemostatic  (par.   915), 

number. 
Case,    general    operating    (par.    916), 

number. 
Cases,    operating,    small    (par.    922), 
number. 

Case,  pocket,  farrier's number. 

Cases,  tooth  extracting,  S  forceps  in  can- 
vas roH,  number. 
Catheters,  flerible,  assorted,  Nos.  IS,  17, 
18,  go,  22, 24,  French  scale,  number. 

Cement,  ambroid ounces . 

Chest,  acetylene  (par.  927) number. 

Chest,  cooking  utensils  (par.  929), 
number. 

Chests,  medical  and  surgical  (par.  932), 
number. 

Chest,  medical  and  surgical ,  supplemen- 
tary (par.  933),  number. 

Chest,  sterilizer  (par.  93-5) number. 

Chest,  tableware  (par.  936) do. . . 


Chest,  tool,  iVo.  ^  (par. 938) do... 

Cooking  utensils: 
March  kit— 

Cake  turner do. . . 

Cans,  water,  nested do. . . 

Cleaver do . . . 

Dipper,  large do . . . 

Fire  irons sets. 

Fork,  meat,  large number. 

Kettles,  camp,  with  covers. do. . . 

Knife,  meat,  large do. . . 

Pons,  bake do. . . 

Corks,  assorted,  300  in  bag bags. 

Corkscrews number. 


1 

220 
280 
144 


24 


C.    1  Source. 


1 
220 
280 
144 


Remarks. 


6J  dozon  addilional  in  each 
medical  and  surgical  chest. 

*J  dozen  in  each  medical  and 
surgical  chest. 

1  additional  in  each  medical 
and  siugical  chest. 

1  dozen  additional  in  supple- 
mentary chest. 

2  basiiLS,  rubber,  in  each 
medical  and  surgical  ciiest, 
and  4  in  sterilizer  chest. 

In  5  large  bedding  cases; 
In  14  large  bedding  cases. 
In  8  small  bediiint;  cases. 
*6  in  supplementary  chest. 

1  gross  additional  in  each 
medical  and  surgical  chest. 

8  additional  in  each  medical 
and  surgical  chest. 


6  additional  in  each  medical 
and  surgical  chest,  and  6 
additional  in  sterilizer 
chest. 


1  additional  on  each  wagon. 


For  repair  of  tents. 
Contamers  for  bedding,  etc. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 


*1  in  each  medical  and  sur- 
gical chest. 

See  Note  1,  par.  880. 

*1  in  each  medical  and  sur- 
gical chest. 

*3  in  each  medical  and  sur- 
gical  chest,  6  in  supple^ 
mentary  chest. 

For  repair  of  tents. 


In  case  of  necessity,  to  be 
supplemented  by  the  uten- 
sils pertaining  to  patients' 
individual  equipments. 

.Additional  cooking  utensils 
are  contained  in  range  No. 
1,  furnished  by  the  Quar- 
master  Corps,  and  in  the 
chest,  cooking  utensils, 
furnished  by  the  Medical 
Department. 

One  wall-tent  fly  is  allowed 
for  kitchen  purposes.  (See 
Tentage,  heavy.) 


1  additional  in  supplemen- 
tarychest;  1  in  each  medical 
and  surgical  chest. 


284 


MANUAL   FOrj   THE   MEDICAL  DEPARTMENT. 


Pack 
age 
No. 


Articles. 


B. 


C. 


Source. 


Remarks. 


2a-24 

13-19 


29 


43 

22 

84 
84 
84 
81 
8-15 


20-21 
28 

25 

25 
83 


24 


46-50 


}  IiscELLANEOUS— Continued . 

Cotton,  absorbent,  in  roll pounds.. 

Cotton,  absorl>ent,  sterilized,  in  1-ounce 

package,  packages. 
Cups,  ena met  itare number . . 


Desk,  field,  No.  1  (par.  940) do... 

Eye  shades,  single do... 

First-aid  packets  (pur.  944) do. . . 

Flag,distingu isliing,  Red  Cross do. . . 

Flag,  hiilijdrd.sfor.SOfeet do... 

Flag,  nationiil,  tftorm do... 

Flag,  staff  for.  complete do. . . 

Food,  tmxei  o/(paT.  94S) do. . . 


Forks, stable do 

Funnel, agate  ware do 

Gauze,  sublimated,  2  half-yard  lengths 

in  package,  packages. 
Globes,  lantern.  (See  Lanterns,  globes 

for.) 
Gloves,  rubber,  sizes  8  and  9 pairs. . 


Graduate,  gla.«s,  100c.  c number. 

Graduate,  glass,  250  c.c do 

Guidons,  ambulance,  with  staff do 

Guidon  and  standard  carrier.  ..number. . 

Head  mirror,  in  case do. .. 

Head  nets,  mosquito do 

Individual  dressing  packets  (par.  949), 
number. 

Inhalers,  chloroform,  Fsmarch,  with  drop 
bottles,  number. 

Iron,  bar,  assorted pounds . 

Jack,  wagon number. 

Lampblack pounds. . 

Lanterns,  without  globes  or  wicks,  num- 
ber. 

Lanterns,  without  globes  or  wicks,  .do 

Lanterns ,  globes  for ,  green do . . . 

Lanterns,  globes  for,  white do. . . 

Lanterns,  globes  for,  white do. . . 

Lanterns,  wicks  for dozen. 

Lanterns,  wicks  for number. 

Leather,  harness,  black poimds. 

Litters,  canvas  for pieces. 

Litters,  tacks  for,  75  in  package,  pack- 
ages. 

Litters,  with  slings number. 

Marking  outfit,  for  leather,  model  1910, 
number. 

Marking  outfit,  for  metal,  model  1910, 
number. 

Matches,  safety,  boxes dozen. 


Medicine  droppers number. 

Medicine  glasses do 

Medicines  and   dressings,  veterinary, 

poimds. 
Mortars  and  pestles,  porcelain,  7  cm., 

number. 

Muslin,  unbleached yards . , 

Nails ." 


Nails,  a.ssorted pounds . . 

Nails,  horseshoe do 

Needles,  common,  assorted papers . . 

-Needles,  harness,  assorted do 

-N'eedlas,  surgical,  a.ssorted dozen. . 

Pajamas,  coats numt>er. . 

Pajamas,  trousers do. . . . 

Paper,  litmas,  blue  and  red,  100  strips 
in  vial,  of  each,  vials. 


20 

SIX) 


100 

1 

2 
1 
1 


200 
2 


20 

800 


100 

1 

2 
1 
1 


200 
2 

32 
1 
1 

20 

3 
3 

26 
3 
2 
3 

32 


2tj  additional  in  each  medical 
and  surgical  che-st. 

1  additional  in  each  medical 
and  surgical  cli&st,  and  2 in 
supplementary  chest. 

*(i  in  supplementary  chest. 


*(^ontents  purcnased  from 
hosjiilal  fund  when  practi- 
cable.   (See  par.  948.) 

*1  in  sterilizer  chest. 
40  additional  in  each  medical 
and  surgical  chest . 


2  pairs  additional  in  each 
medical  and  surgical  chest, 
and  8  additional  in  steri- 
lizer chest. 

1  additional  in  supplemen- 
tary chest. 


May  lie  used  with  saddle  of 

any  model. 
*1  in  supplementary  chest. 
For  the  guard. 


1  additional  in  each  medical 
and  surgical  chest. 


1  additional  on  each  wagon. 


For  repair  of  Q.  M.  ham«is. 
For  repair  of  litters. 
Do. 


6  boxes  additional  in  each 
medical  and  surgical  chest; 
6  boxes  in  sterilizer  chest. 

6  additional  in  supplemen- 
tary chest. 

1  ad(litional  in  each  medical 
and  surgical  chest. 

See  Note  1,  par.  880. 

*1  in  each  medical  and  surgi- 
cal chest. 

*1  box  in  chest,  cooking  uten- 
sils. 
See  Note  1,  par.  880. 

*2  in  supplementary  chest. 
See  Note  1,  par.  S80. 
.\dditional  in  operating  case."!. 

I  In  1  small  bedding  case. 
♦1  of  each  in  supplementiry 
chest. 


FIELD   SUPPLY    TABLES. 


285 


Arlii'les. 


MiscKLLANEous— Continued. 


30     Taper,  toilet pacKages. . 

Piiulin,  large num))er. 

I'enciLs,  hair,  1  dozen  in  vial vials. 

PicJcaxcs,  with  helves num1>er. 

Pill  tile,  hard  rubber do — 

Tins,  common papers . 

Tins,  safety,  3  sizes dozen . 

ristol  l^all-cartridRfts,  caliber  45,  model 

1911,  number. 
Pistol  belts,  model  1913,  without  saber 

ring,  number. 

Pistol  holsters numl  )er . 

Pistols, automatic,  caliber /,S,  model  1011, 

number. 
Pistols,  magazines  for ,  extra.,  .number. 
Piaster,  adhesive,  z.  o.,  5  yards  by  1 

inch,  spools. 
Plaster,  adhesive,  z.  o.,  ,5  yards  by  2\ 

inches,  spools. 

Pot,  marking number. 

Rakes,  steel do. . . 

Range,  field.  No.  1,  complete do. . . 

Razors do.. . 


Razors,  strops  for do 

Rivets   and    burs,    copper,    assorted, 
pounds. 

Rope,  picket  line,  ^-inch feet. . 

Scissors number. . 

Sheeting,  rubber yards . . 

Sickle number. . 

Shoes,  horse  and  mule,  extra: 

Horse pounds.. 

Mule do.... 

Soap,  hand cakes . . 

Soap,  Ivory do 

Sjiades number. . 

Spatulas,  S-inch do 

Specula,  ear,  set  of  3 sets. . 

Speculum,  rectal number. . 

Splints,  coaptation,  5  in  set sets.. 

Splints,  wire  gauze  for,  1  yard  in  roll, 
rolls. 

Splints,  wood  veneer number. . 

Sponges,  gauze,  1  dozen  in  1)ox.  .bo.xes. . 
Sprinklers,  powder,  h.  r number. : 

Stencil  outfit do 

Sterilizei  ,for  dressings do 

Stethoscope,  double do 

Stick,  size,  shoe do — 

Stoves,  alcohol do 

Stretcher,  shoe do 

Sutures,  catgut, chromicized,  sterilized, 
18  inches  each,  3  sizes  in  package, 
packages. 
26     Sutures,  catgut,  plain,   sterilized,   18 
inches  each,  3  sizes  in  package,  pack- 
ages. 
Sutures,   silk,   braided,   sterilized,    18 
inches  each,  3  sizes  in  package,  pack- 
ages. 
26     Sutures,  silkworm  gut,  100  incoil.coils. . 

Sutures,  silver  wire,  yard  lengths, 
yards. 

Syringes,  fountain.  (See  Bags,  rubber, 
hot  water  and  syringe. ) 

Syringes,  hypodermic  (par.  956),  num- 
ber. 


2 
* 

20 

40 

252 

12 

12 
12 

24 
24 


1.6 
125 

20 


50 


100 

100 

10 


C.    [Source. 


6 

20 

40 

252 

12 

12 
12 

24 
24 


3.2 
125 


20 


1 
100 


100 

100 

10 
4 


Q 
<.i 
Q 
M 

M 

Q 
M 

M 

M 


llemarks. 


*1  in  each  medical  and  surgi- 
cal chest. 

*1  in  supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 


3  additional  in  each  medical 
and  surgical  chest. 


See  Note  1,  par.  880. 
*1  in  each  medical  and  sur- 
gical chest. 
Do. 
See  Note  1,  par.  880. 

*1  in  each  medical  and  sur- 
gical chest. 

For  litters  when  ased  as  oper- 
ating tables. 

*1  in  chest,  cooking  utensils. 


*2  in  each  medical  and  sur- 
gical chest,  and  5  in  steri- 
lizer chest. 

1  additional  on  each  wagon. 
*1  in  each  medical  and  sur- 
gical chest. 
*1  set  in  supplemetary  chest. 
*1  m  supplementary  chest. 

12  additional  in  supplemen- 
tary chest. 

*40  in  sterilizer  chest. 
*1  in  each  medical  and  sur- 
gical chest. 
For  marking  cloth  or  canvas. 
*1  in  sterilizer  chest. 
*1  in  supplementary  chest. 

1  additional  in  sterilizer 
chest. 

10  additional  in  each  medical 
and  surgical  chest. 

20  additional  in  each  medical 
and  surgical  chest. 

10  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  each  medical 
and  surgical  chest. 


Do, 


286 


MANUAL    FOR    THE    MEDICAL   DEPARTMENT. 


Pack 
age 
No. 


28 


82 


25 


25 


Articles. 


Miscellaneous— Continued. 

Syringes,   hypodermic,   extra  needles 

for,  niimlier. 
Syrinfjes,  penis,  glass,  in  case. number. 

Syringe,  rectal,  h.  r.,  O-ounce do 

Tags,  diagnosis Ijooks . 


Tape  measure,  foot number. 

Tape  weasitre,  60  inches do. . . 

Tcntnge,  hearij: 

Cnnvaif,  lutrine screen do... 

Covers,  canvas* do. . . 

Flp,  wall-tent* do. . . 

Tents,  hospital,  complete do. . . 

Tents,  pyramidal,  large,  complete, 
number. 

Tents,  wall,  small,  complete,  num- 
ber. 

Tents,  ward,  complete number. 

Test  tubes,  3  in  nest nests. 

Thermometers,  clinical numVjer. 

Thread,  cotton,  assorted spools. 

Thread,  saddler's,  assorted pounds. 

Tongue  depressors,  metal number. 

7*00?,  universal do. . 

Tourniquets  and  bandages,  rubber,  num- 
ber. 
Towels,  dish do 

Towels,  hand dozen. 

Trays,      instrument,      enamel      ware, 

number. 
Trusses nimiber . 


Tube,  stomach do. . . 

Tubing,  drainage,  imperforated,  Nos. 
1,  2,  and  3,  yards. 


Twine,  coarse pounds. 

Typewriter number. 

Tj-pewriters,  record  ribbons  for.  .do. . . 
Vials,  1-ounce dozen. 


Wax,  saddler's pounds. . 

Weight,  packed pounds . . 

Cubic  space,  packed feet. . 


C. 


14,2004,000   18,200 
6501     200         850 


Source. 


Remarks. 


12  additional  in  e;ioh  medical 
and  surgical  chest. 

12  additional  in  supplemen- 
tary chest. 

*1  in  supplementary  chest. 

2  additional  in  each  medical 
and  surgical  chest;  12  in 
supplementary  chest. 

*1  in  supplementary  chest. 


*For  ward  tents. 
♦For  use  of  kitchen. 


*2  in  supplementary  chest. 

6  additional  in  each  medical 
and  surgical  chest. 

1  additional  m  supplemen- 
tary chest. 

See  Note  1,  par.  880. 

*1  in  eiicli  medical  and  sur- 
gical chest. 

*1  in  sterilizer  chest. 

1  additional  in  each  medical 
and  surgical  che.st. 

*24    in  chest,  cooking  ut»en- 

sils. 
In  2  small  bedding  cases. 

2  in  sterilizer  chest. 

For  supporting  litters  used 
as  operating  tables. 

*1  in  supplementary  chest. 

2  pieces  additional  in  each 
medical  and  surgical  chest 
and  6  additional  in  supple- 
mentary chest. 


dozen  additional  in  each 
medical  and  surgical  chest 
and  2  dozen  in  supplemen- 
tary chest. 


880.  Tlio  following  articles  arc  not  kept  in  store  hy  the  Medical 
Department.  In  organizing  a  field  hospital,  or  in  making  subsequent 
requisitions  for  replenishment,  these  articles  must  be  obtained  from 
the  proper  supply  department  as  indicated  for  each  item  under 
"Source." 


FIELD   SUPPLY    TABLES. 


S87 


Articles. 


B. 


C. 


Source. 


Uemarks. 


Bags,,surphis  kit number. 

Calks,  toe,  horseshoe do... 

Candles do — 

Coal,  smithing , pounds. 

Cover,  mule,  blanket-lined number. 

Equipments,  horse  (par.  9415) do. . . 

Equipments,  horse,  Quartermaster do. . . 

Equipments,  individual,  Hospital   Corps  (par. 
8(35),  number. 

Equipments,  individual,  Quartermaster    Corps, 
number. 

Forage 


Ouidon,  field  hospital  {bunting),    with  staff, 

number. 
Horses,  riding,  for  enlisted  men number. 

Horses,  riding,  for  officers do... 

Lime,  hypochlorite tubes. 

Matches,  safety,  boxes number. 

Mules,  draft do. . . 

Mule,  riding do. . . 

Oil,  mineral gallons. 

Oil,  neal's-foot pints. 

Rations: 

Field 

Reserve 

Salt,  rock poimds. 

Shoe,s,  horse  and  mule,  fitted: 

Horses,  riding  * number. 


Mules,  draft do. . . 

Soap pounds. 

Stationery,  field  dask  allowance 

Stoves,  tent,  with  pipe  and   other  accessories, 
number. 

Wagons,  escort,  with  harness,  complete,  number. . 


100 
24 

28 

1 
14 

2 


112 
14 


28 


112 


Q 
Q 

Q 
Q 

Q 


*Based  on  Tables  of  Organi- 
zation. 

*Supplied  when  necessary. 

*10  davs'  supply.  See  Army 
Regiilation-s.    **SeeNote2. 

For  winter  use  on  riding 
mule.  4  additional  on 
each  wagon. 

♦Based  on  Tables  of  Organi- 
zation. 

For  riding  mule. 

*1  for  each  man  of  Hospital 
Corps.  **M.  D.,  Q.  M.  C, 
and  O.  D. 

*1  for  each  man  of  Quarter- 
master Corps.  **M.  D., 
Q.  M.  C,  and  O.  D. 

*See  Army  Regulations  and 
Field  Service  Regulations. 
**See  Note  2. 


*Based  on  Tables  of  Organi- 
zation. 

*1  for  each  captain  or  lieuten- 
ant not  privalelv  mounted. 

*See  Note  2. 
Do. 

Based  on  Tables  of  Organiza- 
tion.   • 

*See  Note  2. 
Do. 

rSee  Field  Service  Regula- 
tions.   **See  Note  2. 
*See  Note  2. 

1  fore  and  1  liind  on  each 
moimt.  *Includes  riding 
mule. 

16  fitted  shoes  on  each  wagon. 

*See  Note  2. 

*See  Note  1. 

When  prescribed  only.  *For 
allowance,  see  Equipment 
Tables,  Q.  M.  Supplies. 

See  Note  1. 


Note  1.— For  list  of  contents  consult  Equipment  Tallies,  Q.  M.  Supplies. 

Note  2.— A  10  days'  supply  of  this  article  will  be  taken  to  the  field  ,liy  organizations.  The  additional 
amoimt  authorized  by  re;.^ulations  for  camp  use  will  be  furnished  by  the  camp  quartermaster. 

'881.  If  a  field  hospital  is  to  be  entrained,  with  personnel  and  trans- 
portation at  war  strength  and  ''C"  supplies  complete,  a  railway  train 
composed  of  2  tourist  sleeping  cars  (or  1  tourist  sleeper  and  1  day 
coach),  1  kitchen  car,  1  baggage  (or  box)  car,  3  standard  stock  cars, 
and  3  flat  cars  will  be  required. 

Note.— For  method  of  arriving  at  transportation  required  see  Note  to  paragraph  876. 

882.  Articles  used  in  camp  only,  such  as  garbage  cans,  crude  oil, 
lime,  straw,  etc.,  are  supplied  by  the  camp  quartermaster  and  will 
not  bo  taken  to  the  field  by  organizations.  The  allowances  are 
specified  in  Equipment  Tables,  Q.  M.  Supphes. 


biwi  lift  IbtohIM— -OTOVI 


288 


MANUAL   FOR  THE   MEDICAL  DEPARTMENT. 


883. 


liOADING  TABLES,  FIELD  HOSPITAL  WAGONS. 


The  following  tables  are  based  on  actual  loading  experiments  and 
should  be  adhered  to  until  the  experience  of  the  commanding  officer 
is  such  as  to  justify  him  in  making  changes  to  meet  the  particular 
conditions  under  which  the  hospital  is  operating.  The  endeavor  has 
been  so  to  arrange  the  loads  as  to  obtain  a  fairly  even  distribution 
of  weight  and  at  the  same  time  make  it  unnecessary  to  unload  all 
the  wagons  when  the  hospital  is  to  be  pitched  for  one  or  two  days 
only  and  comparatively  few  patients  are  to  be  accommodated.  If 
the  hospital  is  serving  in  a  community  where  buildings  for  its  use 
are  available  the  tentage  would  naturally  be  first  dispensed  with  in 
case  transportation  should  be  unavoidably  reduced. 


Pack- 
age No. 


Pounds. 


8-9 
44 


4 

5 

6 

7 

16 

18 

20 

23 

25 

26 

27 

28 

29 

30 

31 

32-3.J 

36 

38 

39 

4.5 

46-50 

56-57 

78 

82 


Wagon  No.  1. 

Food,  boxes  of numljer. . 

Lanterns,  complete,  M.  D do 

Ax  with  nelve do 

Bags,  water,  sterilizing do 

Buckets,  galvanized  iron,  Q.  M do 

Cooking  utensils,  march  kit  (including  tent  fiy ) sets. . 

Lanterns,  complete,  Q.  M ". number. . 

Pickaxes.with  helves do 

Range,  No.  1,  complete do 

Rope,  picket feet. . 

Spades nimiber. . 


Sp; 
Te; 


ent,  wall,  small,  complete do. 

Candles,  Q.  M.  (when  issued). 

Lime,  hypochlorite tubes 

Matches",  Q.  M boxes 

Oil ,  mineral gallons 

Soap,  common pounds 

Baggage,  6  oflicers 

Rations,  2  days'  field,  1  day's  reserve number..  246 

Weight '. . . .:..:. 

If  bagage  and  tent  is  carried  for  direct  or  of  field  hospitals,  add __[ 


.100 
24 
4 
14 


Total  weight . 


Wagon  No.  2. 

Alcohol boxes . 

Anesthetics do 

Whisky do. . ! 

Alcohol,  denatured do. . . 

Bandages do. . . 

Cotton,  absorbent,  packages do. . . 

Gauze,  packages do... 

Cotton,  absorbent,  in  rolls do. . . 

Dispensary  accessories do. 

Sutures,  needles,  etc do... 

Cases,  operat  ing,  etc do. . . 

Basins,  rulitier  gloves,  etc do. 

Splints do. . . 

Toilet  paper do. . . 

Bed  pans  and  urinals do 

Buckets bundles. 

Chest ,  medical  and  surgical . . . ; number. 

Chest,  medical  and  surgical,  supplementary do.. . 

Chest  sterilizer do. .  ] 

Lanterns,  complete,  M.  D.,  10  in  a  box boxes. 

Litters number. .  20 

Blankets,  gray cases. .    2 

Towels,  hand do... 

Trus.ses  for  operating  tables number. 

Ax,  with  helve do. 


Total  weight . 


180 

59 
5 

16 

10 

200 

5 

18 
264 

18 

10 
120- 


30 

14 

300 

738 


1,988 
170 


2,158 


74 
116 
76 
68 
83 
65 
60 
41 
58 
70 
71 
60 
90 
66 
88 
102 
104 
95 
82 
59 
450 
230 
87 
45 
5 


2,345 


Note.— Mineral  oil  and  lanterns  should  be  well  separated  from  rations  and  cooking  utensils, 


FIELD   SUPPLY    TABLES. 


289 


Wagon  No.  3. 

Desk ,  field -f -K-- -number. 

Ax,  with  helve a"-  ■  ■ 

Teiil  s,  hospit  ill,  fomplete • a" 

Tenis,  ward,  complete,  with  covers  for  canvas do. . . 

Allowance  for  wet  canvas,  50  per  cent  of  1 ,090  pounds 


Total  weight . 


Wagon  No.  4. 

Ax,  with  helve number . .  1 

Tents,  hospital,  complete <io 2 

Tents,  ward,  complete,  with  covers  for  canvas do  —  2 

Allowance  for  wet  canvas,  50  per  cent  of  1,090  pounds 


Total  weight . 


Wagon  No.  5. 

Blankets,  gray cjises. .  4 

I31anktM,s,  r  uliber do ....  4 

A  \,  \vi(  li  helve number. .  1 

Ten  Is,  ward,  complete,  with  covers  for  canvas do 2 

Allowance  for  wet  canvas,  50  per  cent  of  720  pounds 


Total  wei^'ht. 


Wagon  No.  6  . 

Food,  boxes  of. number .    ti 

Bandages boxes . .  1 

Cotton,  absorbent,  in  packages do —  i 

Gauze,  in  packages do 1 

First-aid  packets do . .      1 

Blankets,  gray cjist  a . .  8 

Blankets,  rubber do ....  4 

Towels,  hand do 1 

Pajamas do 1 


Total  weight  , 


Pounds. 


100 

5 

620 

1,070 

545 

2,340 


5 

620 

1,070 

545 


2,240 


460 

440 

5 

1,070 

360 


2,335 


540 
85 
65 
60 
85 
920 
440 
90 
55 


Wagon  No.  7. 

Medicines  and  antiseptics,  reserve boxes. . 

Lantern  glasses,  extra,  canvas  for  litters,  etc do 

Calcium  carbide do 

Chest,  acetylene number . . 

Chest,  medical  and  surgical do  — 

Chest,  cooking  utensils do 

Chest,  tableware do. . . . 

Chest,  tool.  No.  2 do. . . . 

Bedsacks cases . . 

Flag,  staff  for number. . 

Pistols,  holsters,  belts,  and  cartridges boxes. . 

Quartermaster  sundries do 

Shoes,  horse  and  mule,  extra,  with  nails do 

Axes,  with  helves number . . 

Guidons,  ambulance,  with  stafT do  — 

Iron,  bar,  assorted bundles. .  1 

Jack,  wagon number . .  1 

Leather,  harness bundles . .  1 

Rake,  steel number . .  1 

Coal,  smithing sacks. .  1 

Oil,  mineral gallons.  .10 

Oil,  neats-foot pints..  2 

Salt,  rock pounds . .  9 

Grain,  29  mules,  15  horses,  day's  1 


2,340 


230 

39 

72 

41 

104 

134 

175 

67 

555 

20 

89 

69 

73 

10 

18 

16 

15 

16 

4 

20 

95 

2 

10 

441 


Total  weight . 


2,315 


Note  1. — One  day's  grain  for  each  team  (weight  36  pounds)  is  carried  in  the  jockey  box  of  each  wagon. 
This  graiTi,  the  driver,  and  the  tools  and  spare  parts  that  go  with  each  wagon,  are  not  included  in  the  maxi- 
mum load  of  2,765  pounds  allowed  by  regulations. 

Note  2. — In  loading  tentage  the  poles  should  be  placed  on  the  bottom  oi  the  wagon  bed  with  tail  gate 
extended,  canvas  on  top  of  poles.  Boxes  should  never  be  loaded  on  top  of  canvas.  When  a  wagon  is 
loaded  with  tail  gate  extended  the  sideljoards  of  the  wagon  box  should  be  supported  by  a  chain  or  iron  rod. 


93440°— 17- 


-19 


290  MANUAL   FOR   THE    MEDICAL    DEPARTMENT. 

884.  DIVISION   SURGEON'S   OFFICE. 


Articles. 


'''"          '          (3)  Stationery. 
Envelopes,  official,  letter number. . 

Paper,  blotting quires. . 

Paper,  carbon,  letter,  100  sheets  in  a  box, 
boxes. 

Paper,  manifolding,  cap,  250  sheets  in  a  pack- 
age, packages. 

Paper,  manifolding,  letter,  500  sheets  in  pack- 
age, packages. 

Paper,  manifolding,  letter,-  perforated,  500 
sheets  in  package,  packages. 

Paper,  typewriter,  cap,  250  sheets  in  pack- 
age, packages. 

Paper,  typewriter,  letter,  500  sheets  in  pack- 
age, packages. 

(6)  Bl.vnk  Forms,  M.  D.  (par.  901). 

No.  01 books. . 

Nos.  12M.D.and334AV.B.,ofeach  ..number.. 
Nos.  40  M.D.,  506  M.D.,  330  W.D.,  330a  W.D., 
and  335  W.D.,  of  each,  number. 

Nos.  59,84,  and  85,  of  each number. 

No.  70 do. . . . 

(c)  Miscellaneous. 

Broom,  corn number. 

Calcium  carbide,  2  pounds  in  tin tins. 

Case,  evurgency  (par.  913) number. 

Chair x,foldivg. do. . . 

Containers,  for  certificates  of  identity. .  .do. . . 

Desk,  field,  No.  1  (par.  940) do... 

Lamps,  acetylene do... 

Table,  mess ,  folding do. . . 

Typewriter do. . . 

Tj^ewriters,  record  ribbons  for do. . . 

Total  weight,  packed pounds. 

Cubic  space,  packed feet. 


A. 

B. 

C. 

Source. 

200 

200 

M 

1 

1 

M 

1 

1 

M 

1 

1 

M 

2 

2 

M 

1 

1 

M 

1 

1 

M 

1 

1 

M 

1 

1 

M 

0 

6 

M 

12 

12 

M 

24 

24 

M 

1,000 

1,000 

M 

1 

1 

M 

4 

4 

M 

1 

1 

M 

3 

3 

M 

100 

100 

Q 

1 

1 

M 

2 

2 

M 

1 

1 

M 

1 

1 

M 

2 

2 

M 

314 

314 

22 

22 

Remarks. 


1.50  additional  in  field  desk 
No.  1. 


1  box  additional  in  field  desk 
No.  L 


Issued  only  in  time  of  war, 
(See  par.  544.) 


Issued  only  in  time  of  war. 


Note.— Tentage  and  other  quartermaster  supplies  for  the  division  surgeon's  office  are  iacluded  in  the 
allowances  of  division  headquarters  as  published  in  Equipment  Tables,  Q.  M.  Supplies. 

885.    BLANK  FORMS,  DIVISION  SURGEON'S  EMERGENCY 

SUPPLY. 

Each  division  staff  officer  is  required  by  Army  Regulations  to  keep 
on  hand  an  emergency  supply  of  blank  forms  pertaming  to  his  depart- 
ment, preferably  carried  in  the  supply  train.  Such  emergency 
supply  for  the  division  surgeon  wdl  consist  of  the  following: 


Nos.  12, 17,  and  17c,  of  each number. 

Nos.  19.  24 ,  32,  506,  59,  and  74,  of  each do.  - . 

Nos.  37^  470,  48,  49,  50,  56,  78,  84,  and  85,  of  each do. . . 

No.  28 do. . . 

Nos.  35,  53,  82.  and  83,  of  each do. . . 

Nos.  17a,  176,  and  77,  of  each do. . . 


Weight,  packed . 


12 

24 

50 

100 

500 


.pounds..         12 


Note.— For  key  to  Form  numbers  see  paragraph  961. 


FIELD   SUPPLY   TABLES, 


291 


886. 


CAMP  HOSPITALS. 

(See  pars.  602  to  604.) 


Articles. 


(a)  Medicines  and  Antiseptics. 

Acidum  nitricum,  h  pound,  in  glass-stopper  bottle, 

bottles 

Aether,  J  pound,  in  tin tins.. 

Alcohol,  3  pints,  in  tin do  — 

Argyrol,  1  ounce,  in  bottle bottles. . 

Aspirin,  324-mgm.  tablets,  500  in  bottle do  — 

Chloroformum,  i  pound,  in  tin tins. . 

Cocainae  hydrochloridum,  J  ounce  in  wide-mouth 

bottle bottles. 

Glycerinum,  3  pints,  in  tin tins. . 

Hydrargyri  chloridum  corrosivum,  tablets  (antisep- 
tic) (par.  902),  2.50  in  bottle bottles. . 

Magnesii  sulphas,  3  pounds,  in  tin tins. . 

Oleum  ricini,  3  pints,  in  tin do  — 

Spiritus  frumenti,  1  quart,  in  bottle bottles.. 

Tinctura  digitalis,  4  pound,  in  bottle do  — 

Trochisciammoniichloridi, 350 in  12-ounce  tin .  .tins. . 

(6)  Stationery. 

Envelopes,  official,  letter number. . 

Files,  Shannon,  small do  — 

Paper,  manifolding,  cap,   250  sheets  in  package, 

packages 

Paper,  manifolding,  letter,  500  sheets  in  package, 

packages 

Paper,  typewriter,  cap,  250  sheets  in  package,  pa<;k- 


Paper,  typewriter,  letter,  500  sheets  in  package, 

packages 

Pencils,  lead number. 

Penholders do . . . 

Pens,  steel gross. 

(c)  Blank  Forms,  Medical  Department.' 

Nos.  14  W.  D.and  12  M.  D.,  of  each number. 

Nos.  51  and  51a,  of  each do . . . 

No.  516 do... 

No.  52 do... 

Nos.  55,  a  to  u,  as  required do... 

No.  72 do... 

No.  72a do . . . 

No.  74 do... 

Nos.  75  and  76,  of  each do . . . 

No.  81 do... 

No.  97 do... 


120 
108 
108 


175 
160 
160 


(d)  Miscellaneous. 

Ambulance,  motor ^ number. 

A  tomizers,  hand do . . . 

Bandages,  plaster  of  Paris dozen. 

Basins,  hand number. 

Bars,  mosquito do. . . 

Bars,  mosquito,  frames  for pairs. 

Bars,  mosquito,  spreaders  for  frames number. 

Bedpan,  enamel  ivare  or  agate  toare do. . . 

BedsacliS do... 

Blankets,  gray do. . . 

Brooms,  corn do... 

Brushes,  scrubbing do . . . 

Calcium  carbide,  10  pounds,  in  tin tins. 

Cases,  bedding,  large,  empty number. 

Cases,  bedding,  small,  empty do... 

1  When  camp  hospitals  are  issued  intact  this  list  will  govern,  but  such  other  Forms  as  may  be  necessary 
will  be  furnished  subsequently  as  required. 
-  Not  kept  in  depots  and  not  included  in  shipping  weights. 


Regimen- 
tal hospital 
"C"  equip- 
ment (par. 
872)  as  a 
nucleus. 


Beds,  24. 


100 

4 


6 
'266 


6 

150 

100 

12 


Field  hospital  ''C"  equip- 
ment (par.  879)  as  a  nu- 
cleus. 


Beds,  50.  Beds,  100.  Beds,  150. 


6 

6 

12 

300 


12 
300 
200 

24 


150 
4 

1 

1 

1 

2 
12 


12 

6 

18 

400 


100 
30 
18 
600 
400 
48 


250 

8 

2 
2 
2 


12 


24 
600 


200 

30 

24 

1,200 

800 
60 


Source. 


292  MANUAL   FOE   THE    MEDICAL   DEPARTMENT. 

Camp  hospitals — Continued. 


Articles. 


Regimen- 
tal hospital 
"C"  equip- 
ment (par. 
872)  as  a 
nucleus. 


Beds,  24. 


Field  hospital  "C"  equip- 
ment (par.  879)  as  a  nu- 
cleus. 


Beds,  50. 


Beds,  100. 


Beds,  150, 


Source. 


Miscellaneous— Continued. 

Case,  microscopical  supplies,  supplementary  (par.  921), 

number 

Chairs,  folding number. . 

Chest,  acetylene  (par.  927) do 

Chests,  commode  (par  928) do 

Cols do 

Cotton,  absorbent,  in  roll pounds. . 

Crutches pairs.. 

Desk,  field,  Ho.  1  (par.  94lj) number.. 

Dippers ^ do 

Gauze, plain,  iu 5-yard  rolls j.i rolls.. 

l>auterns,  globes  for,  while ...........  .;.number . . 

Lanterns,  wilhout  glohes  or  wicks do 

Medicine  glasses '. do 

Microscope,  field,  with  accessory  case  (par.  950).. do 

Mortars  and  peslles,  Wedgwood,  20  c.  m do 

Muslin,  imbleached yards. . 

Needles,  surgical,  assorted dozen. . 

Pails,  com  mode  (close  stools) number . . 

Pajamas,  coats do 

Pajamas,  troitsers do 

Paper,  toilet packages. . 

Paper,  wrapping,  brown quires. . 

Pilltile,  h.r numl)er.. 

Pillow  cases,  cotton do 

Pillow  saclts do 

Plaster  ol  Paris,  4  pounds,  in  tin tins.. 

Scales  and  weights,  apothecary's,  metric  system  (par. 

S45) number. . 

Slienrs do 

Sheets,  cotton do 

Silli,  oiled,  in  5-yard  rolls rolls. . 

Spatulas,  5-inch number. . 

Splint.s,  Uodpen's do 

Stethoscopes,  double do 

Sutures,  catjrut,  plain,  sterilized,  18  inches  each,  3 

sizes  in  package packages. . 

Sutures,  silk,  braided,  sterilized,  )8  inches  each,  3 

sizes  in  package packages. . 

Tables,  bedside, folding number. . 

Tables,  mess,  folding do 

Tables,  operating,  field do 

Tentage,  heavy: 

Canvas,  latrine  screen do 

Tents,  hospital,  complete do 

3Vtt(s,  pijramiaal,  large,  complete do 

Tents,  wall,  small,  co)nplete do 

Test  tubes,  3  in  nest nests. . 

Towels,  bath number. . 

Towels,  dish do 

lowels,  hand do 

Typewriter : do 

Tj'pewriters,  record  ribbons  for do.  . . 

Urinals do 

Urinomett.r do 

Vials,  2-ounce ., ..•..;....'.. . dozen . . 

Vials,  4-ounce .' do 

Weight  packed,  about pounds. . 

Weight  of  nucleus do 

Total  weight,  about do 

Cubic  space feet . . 

Cubic  space  of  nucleus ^ ...:...:...  .do 


3,900 
2,570 


1 

100 
100 


4 

1 

100 

54 

3 

1 

1 
200 
1 
1 
2 
2 


3, 000 
IS, 200 


6,470         21,200 


2 

108 


2 

200 
200 


6 
1 

200 
lOS 


1 
2 
400 
2 
2 
2 
3 


4 

144 


6,000 
18,200 

24,200 


260 
150 


Total  cubic  space : :'J. .  .do. 

i.i'i  I'.i(ljod'.HJ5  ilj^l  ,U:>,'iju\\ 


410 


200  ! 
850 


1,050 


4U0 
850 


1,250 


ir,o 
■4 


2 

300 
300 


1 

300 

100 

8 

1 
3 
600 
2 
2 


7,700 
18,200 


25,900 


650 
S50 


1.500 


FIELD    SUPPLY    TABLES. 


293 


887.  When  a  camp  hospital  is  assigned  to  a  mobilization  camp  there 
will  1)(^  included  in  its  equipment,  in  addition  to  the  articles  enumer- 
ated above,  one  Recruiting  outfit  (par.  952)  for  each  2,000  contem- 
plated enlistments,  together  with  the  necessary  blank  forms. 

888.  Articles  used  in  camp  only,  such  as  garbage  cans,  crude  oil, 
hme,  straw,  etc.,  are  supphed  by  the  camp  quartermaster  and  will 
not  be  taken  to  the  field  by  organizations. 

EVACUATION  HOSPITAL,  BASE  HOSPITAL,  AND  MEDICAL 

RESERVE  UNIT. 

889.  Evacuation  and  base  liospitals  are  not  strictly  hmited  to 
articles  listed  in  this  table.     See  paragraph  859. 

890.  A  medical  reserve  unit  is  a  collection  of  medical  supphes 
which  it  is  estimated  will  meet  the  immediate  requirements  of  a 
reserve  for  one  infantry  division.  A  certam  number  of  these  units 
will  be  kept  in  the  Medical  Department  depots  in  time  of  peace  ready 
for  emergency  issue.  No  provision  is  made  in  the  medical  reserve  unit 
for  replenishing  the  supplies  of  sanitary  formations  on  the  hne  of 
communications.     (See  par.  782.) 


891, 


MEDICAL  SUPPLIES. 


Articles. 


(a)  MEDicrsTEs  and  Antiseptics. 

Acetphenetidinuni  (Phenacetin),  324-mg:m.  tablets,  500 
in  12-ounee  tin,  tins. 

Acidum  boricum,  324-mgm.  tablets,  700  in  12-ounce  tin, 
tins. 

Acidum  nilricum,  in  J-pound  glass-stopper  bottle, 
bottles. 

Acidum  salieylieum,  324-mgm.  tablets,  400  in  12-ounce 
tin,  tins. 

Acidum  sulphmicum  aromaticum,  in  A-pound  glass- 
stopper  Ijottle,  bottles. 

Acidum  lamiicum,  324-mgm.  tablets,  ciOO  in  bottle, 
bottles. 

Adeps  lanae,  \  pound  in  wide-moutb  bottle bottles. . 

Adrenalin  chlorid,  1-mgm.  tablets,  20  in  tube. .  .tubes. . 

Aether,  }  pound  in  tin tins.. 

Alcohol,  3-pint  tin do 

Amylis  nitris,  5-drop  spirets,  12  in  box boxes. . 

Apomorphinae  hydrochloridum,  6-mgin.  hypodermic 

tablets,  20  in  tube,  tubes. 
Aqua  ammoniae,  10  per  cent,  1  pound  in  glass-stopper 

bottle,  bottles. 
Argent  initras,  crystals,  1  ounce  in  bottle bottles.. 

Argenti  nitras  fusus,  1  ounce  in  bottle do 

Argyrol,  1  ounce  in  bottle do 

Arseni  trioxidum,  1-mgm-.  tablets,  ,500  in  3-ounce  tin, 

tins. 

Aspirin,  324-mgm.  tablets,  500  in  bottle bottles. . 

Atropinae  sulphas,  0.6o-mgm.  hypodermic  tablets,  20  in 

tube,  tubes. 
Bismuthi  subnitras,  324-mgm.  tablets,  700  in  12-ounce 

tin,  tins. 


6 

6 

1 

3 

3 

3 

6 
6 

288 
54 

6 

18 
6 
3 

3 

4 
2 


Remarks. 


1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 


Do. 


5  additional  in  each  medical 
and  surgical  chest. 

1 12-ounce  bottle  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

3  additional  in  each  medical 
and  surgical  chest. 


1  additional  in  supplemen- 
tary chest. 

Do. 
Do. 
Do. 

Do. 
7  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 


294 


MANUAL  FOR   THE   MEDICAL  DEPARTMENT. 

Medical  supplies — Continued. 


"3 

a 

Articles. 

ll 

1 

1    . 

Remarks 

d'S. 
> 

P9 

g3 
1 

Medicines  and  Antiseptics— Continued. 

Caffeina  cilratii  0.>nigni.  liiblets,  2.50  in  bottle.  .l>ottles. . 

3 

2 

1  additional  in  supplemen- 
tary chest. 

Camphora,  powder,   h  pound  in  wide-mouth  bottle, 

5 

bottles. 

Capsicum,  32-mgm.  tablets,  600  in  3-ounce  tin tins. . 

2 

3 

2 

Do. 

Chloralum  hydratum,  324-mgm.  tablets,  400  in  bottle, 

4 

0 

2 

Do. 

bottles. 

Chloroformum,  J-pound  tin tins. . 

288 

144 

432 

3  additional  in  each  medical 
and  surgical  chest:  12  addi- 
tional in  supplementary 
chest. 

7  additional  in  each  medical 

Cocainae  hydror-hloridum,  10-mgm.  hypodermic  tablets, 

■   40 

60 

36 

20  in  tube,  tubes. 

and  surgical  chest. 

Cocainae  hydrochloridnm,  J-ounce,  wide-mouth  bottle, 

bottles. 
Codeina.  32-mgm.  tablets,  600  in  3-oimce  tin tins. . 

2 

3 

2 

3 

2 

1  additional  in  supplemen- 

tary chest. 

Collodiu  m ,  1-oimce  bottle bottles . . 

12 

18 

5 

2  additional  in  supplemen- 
tary chest. 

Digitalinum,  1-mgm.  hypodermic  tablets,  20  in  tube, 

10 

18 

5  additional  in  each  medical 

tubes. 

and  surgical  chest. 

Emetinae     hydrochloridnm,     22-mgm.     hypodermic 

10 

18 

Do. 

tablets,  20  in  tube,  tubes. 

Emplastrum  belladonnae,  2  yards  by  6  inches,  in  tin, 

2 

3 

2 

1  additional  in  supplemen- 

tins, 

tary  chest. 

Emplastrum cantharidis  1  yard  bv  6 inches  in  tin. tins.. 

2 

Do. 

Foot  powder  (par.  902),  i  pound  in  tin  with  perforated 

"'26' 

100 

1  additional  in  each  medical 

cover,  tins. 

and  surgical  chest. 

Glycerinum,  3  pints  in  tin ■ tins. . 

2 

3 

2 

i  pint  additional  in  supple- 
mentary chest. 

Eeroini  hydrochloridnm,  5.5-mgm.  tablets,  500  in  3- 

2 

3 

2 

1  additional  in  supplemen- 

ounce tin.  tins. 

tary  chest. 

Eexameth>lpnamina  (Urotropin),  324-mgm.   tablets. 

2 

3 

2 

Do. 

600  in  12-uunie  tin,  tins. 

HvdrarL'vri  thluridum  corrosivum,  tablets  (antiseptic) 

20 

30 

30 

1  tin  in  each  medical  and 

(par.  902),  2i')0  in  wide-mouth  bottle,  bottles. 

surgical  chest. 

Hydrargyri  chloridum  mite,  32-mgm.  tablets,  1,000  in 

4 

6 

4 

1  additional  in  each  medical 

bottle, "bottles. 

and  surgical  chest. 

Hydrargyri  iodidum  flavum,  10-mgm.  tablets,  750  in 

4 

6 

2 

1  additional  in  supplemen- 

3-ounce tin,  tins. 

tary  chest. 

Hyoseinae   hydrobromidum,    0.65-mgm.   hypodermic 

10 

10 

3  additional  in  each  medical 

tablets,  20  in  tube,  tubes. 

and  surgical  chest. 

Ichthyolum,  3-ounce  wide-mouth  bottle bottles. . 

4 

6 

2 

1  additional  in  supplemen- 
tary chest. 

Tq^IJj-i/i  SW3,1^S    G  ill  box         - DOXGS . . 

100 

lodum-potassii  iodidum,  in  tube tubes. . 

"400' 

"mo 

680 

20  additional  in  each  medical 
and  surgical  chest. 

Ipecacuanha,    powder,    3-ounce    wide-mouth    bottle, 

bottles. 
Linimentum  rubefaciens,  tablets  (par.  902),  200  in  12- 

4 

- 

4 

6 

4 

1  additional  in  each  medical 

ounce  tin,  tins. 

and  surgical  chest. 

Liquor  formaldehydi  (37.^  per  cent),  1  quart  in  bottle, 

12 

bottles. 

Magnesii  sulphas,  3  pounds  in  tin tins. . 

10 

15 

8 

Do. 

Menthol  l-oimce  wide-mouth  bottle bottles. . 

4 

...... 

Mistura  glycyrrhizae  eompo.sita,  tablets  (par.  902),  3,600 

""2 

3 

Do. 

in  12-ounce  tin,  tins. 

Morphinae  sulphas,  8-mgm.  hypodermic  tablets,  20  in 

96 

144 

144 

45  additional  in  each  medical 

tube,  tuV)es. 

and  surgical  chest. 

Morphinae  sulphas,  8-mgm.  tablets,  600  in  3-ounco  tin. 

2 

3 

2 

1  additional  m  supplemen- 

tins. 

tary  chest. 

Nitroglycerin,  0.65-mgm,  hypodermic  tablets,  20  in  tube, 

36 

24 

8  additional  in  each  medical 

tubes. 

and  surgical  chest. 

Nitroglycerin  ().65-mgm.  tablets  250  in  bottle.. bottles.. 

3 

Normal  saline  solution  tablets  (par.  902),  150  in  12-ounce 

...... 

3 

2 

1   additional  in  supplemen- 

tin, tins. 

tary  chest. 

Oleum  gossvpii  .seminis  3-pint  tin. tms. . 

8 

Oleum  men'thae  piperitae,  in  1-ounce  glass-stopper  bot- 

3 

tle,  boiiles. 

Oleum  ricini.  :i-i)int  tin ; tins. . 

8 

12 

7 

Do. 

Oleum  hTcbinlliinae  rectiflcatum,  3-pint  tin do 

4 

6 

2 

Do. 

Oleum  thcoliromnlis,  \  pound  in  12-ounce  tin do 

Opii  puU'is  2-ounce  wide-mouth  bottle bottles. . 

3 

2 

Do. 

2 

Potroialum',  in  12-ounce  tin tins. . 

"'ih' 

24 

"ii' 

2  additional  in  each  medical 
and  surgical  chest. 

FIELD   SUPPLY    TABLES. 


295 


Medical  supplies — Continued. 


Articles. 


Medicines  and  Antiseptics— Continued. 
Phenol,  h  pound  in  bottle bottles. . 

Phenylis  salicylas  (Salol),  324-mgm.  tablets,  500  in  bot- 

'  tle,bottles. 

Pilulae  aloini  compositae  (or  tablets)  (par.  902),  750  m 

3-ounce  tin,  tins. 
Pilulae  camphorae  et  opii  (or  tablets)  (par.  902),  875  in 

12-ounce  tin,  tins. 
Pilulae  cathartieae  compositae  (or  tablets),  1,200  in 

12-ounce  tin,  tins. 
Pilulae  ferri  compositae  (or  tablets)  (par.  902),  1,200  m 

12-ounce  tin,  tins. 
Plumbi  acetas,  130-mgm.  tablets,  600  in  3-ounce  tin.  tins.. 
Potassii  bromidum,  324-mgm.  tablets,  500  in  bottle, 

bottles. 
Potassii  chloras,  324-mgm.  tablets,  1,200  m  12-ounce  tm, 

tins. 

Potassii  et  sodii  tartras,  1-pound  tin tins. . 

Potassii   iodidum,  324-mgm.   tablets,  500  in    bottle, 

bottles. 
Potassii  permanganas,  324-mgm.  tablets,  1,200  m  12- 

ounee  tin,  tins. 
Protargol  (or  eciuivalent),  1  ounce  in  bottle — bottles. 

Pulvis  ipecacuanhae  et  opii,  324-mgm.  tablets,  700  in  12- 
oimce  tin,  tins. 

Quininae  hydrochlorosulphas,  .32-mgm.  hypodermic  tab- 
lets, 21)  in  tube,  tubes. 

Quininao  sulphas,  200-mgm.  tablets,  1,000  in  12-ounce 
tin,  tins. 

Sapo  mollis  (green  soap),  H»und  jar  m  case jars. 


Serum  antidiphthericum,  as  required units. 

Serum  antitetanicum,  as  required do. . . 


Sodii  bicarbonas,  324-mgm.  tablets,  1,000  in  12-ounce 

tin,  tins. 
Sodii  bicarbonas  et  mentha  piperita,  tablets  (par.  902), 

1,000  in  12-ounce  tin,  tins. 
Sodii  carbonas  monohydratus,  for  surgical  use,  J  pound 

in  12-ounce  tin,  tins. 
Sodii  salicylas,  324-mgm.  tablets,  600  in  12-ounce  tin, 

tins. 
Spiritus  ammoniae  aromaticus,  i  pound  m  glas.s-stop- 

per  bottle,  bottles. 
Spiritus  frumenti,  1  quart  in  bottle bottles . 

Strychninae  sulphas,  1-mgm.  hypodermic  tablets,  20  in 

tube,  tubes. 
Sulphur  lotum,  i  pound  in  12-ounce  tin tins. . 

Thymol,  1-oimce  bottle bottles. . 

Thymolis  iodidum  (-\ristol),  1-ounce  bottle do 

Tinctura  digitalis,  i  pound  in  bottle do 

Tmctura  digitalis,  0.3  c.  c.  tablets,  800  in  3-ounce  tin, 

tins. 

Tinctura  opii,  *-pound  bottle bottles. . 

Trochisci  ammbnii  ehloridi,  3.'?0 in  12-ounce  tin tins. . 

Ungupntum  hydrargyri,  h  pound  in  wide-mouth  bottle, 

bottles. 
Unguentum  hydrargyri  ehloridi  mitis,  30  per  cent,  1 

pound  in  wide-mouth  bottle,  bottles. 

Vaccine,  smallpox,  as  required units. . 

Vaccine,  typhoid,  as  required c. c. . 

Vaccines,  sjiecial  ^ - do — 

Veronal,  32-1-mgm.  tablets,  100  in  3-ounce  tin tins. 

Zinci  oxidum,  powder,  h  pound  in  12-ounce  tin .  .do — 
Zinci  sulphas,  324-mgm.  tablets,  250  in  3-ounce  tin. do. . . 

1  Streptococcus,  staphylococcus,  staphylococcus-acne 
Army  Medical  School  on  special  request. 


Kemarlis. 


1  additional  in  each  medical 
and  surgical  chest ,  and  4  ad- 
ditional in  sterilizer  chest . 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

Do. 

Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

10  additional  in  each  medical 
and  surgical  chest. 

3  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  sterilizer  chest . 
An  emergency  supply  of  these 

serums  should  always  be 
kept  on  hand  by  the  depots 
on  the  line  of  communica- 
tions. 
1  additional  in  supplemen- 
tary chest. 
Do. 

Do. 

1  additional  in  each  medical 
and  surgical  chest^. 

2  additional  in  supplemen- 
tary chest. 

J  pint  additional  in  supple- 
mentary chest. 

20  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

Filled  sprinkler  in  each  med- 
ical antl  surgical  chest. 

1  additional    in  supplemen- 
tary chest. 
Do. 
Do. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

.\n  emergency  supply  of  these 
vaccines  should  always  be 
kept  on  hand  by  the  depots 
on  the  line  of  communica- 
tions. 

1  additional   in  supplemen- 
tary chest. 
Do. 
Do. 


and  gonococcus  vaccines  are  furnished  from  the 


296 


MANITAL    FOR    THE    MEDICAL   DEPARTMENT. 


Medical  supplies — C'ontinued . 


Articles. 


(6)  Stationery. 
Bands,  elastic,  assorted gross. 

Blank  forms 

Books,  blank,  crown  ('cap),  250  pages number. 

Books,  blank,  S-vo.,  150  pages do. . . 

Books,  note,  manifolding,  A  by  6  inches,  binder" do. . . 

Books,  note,  manifolding,  4  by  6  inches,  fillers. .  .do. . . 

Envelopes,  official,  large do. . . 

Envelopes,  official,  letter,  1,000  in  a  box boxes. 

Erasers,  rubber,  pencil number . 

Erasers,  rubber,  typewriter do . . . 

Eraser,  steel do 

Files,  Shannon,  small do 

Ink,  black,  powder  or  tablets boxes. 

Ink,  red,  powder  or  tablets do 

Isabels  for  vials gross. 

Labels,  poison,  assorted do 

Manuals,  Army  Scgitlations,  etc , 

Pads,  prescription dozen. . 


Paper,  blotting quires. 

Paper,  carbon,  cap,  100  sheets  in  box boxes. 

Paper,  carbon,  letter,  100  sheets  in  box do 

Paper  fasteners do 

Paper,  manifolding,  cap,  250  sheets  in  package,  pack- 
ages. 

Paper,  manifolding,  letter,  500  sheets  in  package,  pack- 
ages. 

Paper,  manifolding,  letter,  perforated,  500  sheets  in 
package,  packages.  ^ 

Paper,  typewriter,  cap,  250  sheets  in  package. packages. 

Paper,  typewriter,  letter,  500  sheets  in  package,  pack- 
ages. 

Paper,  writing,  letter,  100  sheets  in  pad pads. 

Paper,  writing,  note,  100  sheets  in  pad do. . . 

Paste,  photograph,  in  tube,  with  brush tubes. 

Pencils,  indelible dozen. 

Pencils,  lead do. . . 

Penliolders do. . . 

Pens,  st  eel gross. 

Ruler number . 

Stamp,  penalty,  rubber,  with  pad do 

Tags,  shipping do 

(c)  Miscellaneous. 

Alcohol,  denatured,  2  quarts  in  tin tins.. 

Ambulances,  motor number. . 


Apparatus,  restraint  (par.  904) do 

Apparatus,  X-ray do 


G 
6 
2-4 
100 
1 
6 
6 


24 

200 

1 

12 

12 

* 

18 
2 

1 
6 
1 


50 


Remarks. 


1    grass  additional   in   field 

desk  No.  i. 
*See  footnote '. 

1  additional   in    field   desk 

No.  1. 
5  addiiional    in    field   desk 

No.  1. 
10  additional   in   field  desk 

No.  1. 
25  additional   in  field  desk 

No.  1. 
150  additional  in  field  desk 

No.  1. 
1   additional    in    field   desk 

No.  I. 

*1  in  field  desk  No.  1. 
For  clinical  histories. 
1   additional    in    field   desk 
No.  1. 
Do. 

3  dozen  additional  in  each 
medical  and  surgical  chest. 
*In  field  <ieskNo.  1. 

24  additional  in  field  desk 
No.  1. 


1  box  additional  in  field  desk 

No.  1. 
1   additional  in    field    deek 

No.  1. 


2  additional   in    field    desk 

No.  1. 
6  additional  in    field    desk 

No.  1. 

1  additional   in    field    desk 
No.  1. 

\  dozen  additional  in  field 
desk  No.  1. 

2  dozen  additional  in  field 
desk  No.  1. 

J  dozen  additional  in  field 

desk  No.  1. 
2  dozen  additional  in  field 

desk  No.  1. 

*  1  in  field  de.sk  No.  1. 

Do. 

*  100  in  field  desk  No.  1. 


Not  kept  in  store,  but  will  be 
furnished  when  practicable 
and  the  needs  of  the  hos- 
pital justify  it. 


*  As  required. 


'  .\  supply  of  blank  forms  will  be  furnished  with  the  hospital  equipment  by  the  issuing  depot  in  accord- 
icc  wii  h  a  list  furnished  by  the  Surgeon  General's  OfTice.    Subsequent  issues  will  be  obtained  as  directed 


in  Army  Regulations. 


FIELD   SUPPLY    TABLES, 


297 


Medical  supplies — Continued. 


Articles. 


Miscellaneous— Continued. 
Aprons,  rubber number. 

Atomizers,  hand do. . . 

Ax  helves,  short  (par.  874) do. . . 

Aies,  short  handle  (par.  S74) ...do... 

Bags,  rubber,  hot  uater  and  syriiige do. . . 


Bandages,  flannel,  3-inch  roller .dozen. . 

Bandages,  gauze,  compressed,  1  gross  in  box,  3  sizes, 
boxes. 

Bandages,  plaster  of  Paris,  3-inch,  in  individual  pack- 
ets, doi;en. 

Bandages,  rubber,  Martin -  .number. . 

Bandages,  suspensory dozen. 

Bars,  mosquito number. 

Bars,  mosquito,  frames  for pairs. . 

Bars,  mosquito,  spreaders  for  frames number. . 

Basins,  for  sponges,  etc.,  enamel  ware do — 

Basins,  hand do — 

Basins,  hand,  enamel  ware do — 

Basins,  rubber -  do  — 


18 


500 


450 

450 


60 


Bedpans,  enamel  ware  or  agate  ware do 18 

Bedpans,  box  of  (par.  906) do. 

Bedsacks do. . . .     484 

Beef,  soluble,  liquid  or  extract,  in  3-ounce  tin tins. 

Blankets,  gray number. . jl, 300 

Blankets,  rubber do 140 

Boiler,  instrument do ! 

Books,  medical,  box  of  (par.  908) do 1 

Botths,  4-liur,for  antiseptic  solutions .' do  .. 

Bougies,  ncxible,  Nos.  11,  IS,  15,.17,  20,  22,  French  scale,        12 

number. 
Boxes,  folding,  for  tablets gross. .       20 

Boxes, fracture,  folding number. .         3 

Boxes,  ointment,  3  in  nest nests. .       96 

Boxes,  pack  mule,  empty ,  No.  1  (par.  909) number.. 

Boxes,  pack  mule,  empty,  Nos.  2,  S,  4,  5,  6,  7,  and  8  (par. 
909),  of  each,  number. 

Brooms,  corn number. . 

Brushes,  hand,  fiber do — 

Brushes,  scrubbing do — 

Buckets,  enamel  ware,  S  in  nest nests. 

Buckets,  galvanized  iron number. 

Cabinet,  for  dressings  and  instruments do — 

Calcium  carbide,  2  pounds,  in  tin tins. 

Calcium  carliide,  10  pounds, in  tin do . . 

Candles poimds. 

Candles,  lantern do. . . 

Case,  aspirating  (par.  910) number. 

Cases,  bedding,  large,  empty do... 

Cases,  bedding,  small,  empty do. . . 

Case,  ear,  nose,  and  throat  (par.  912) do . . . 

Ca.ses,  emergency  (par.  913) do. . . 

Case,  eye  (par.  914) do... 

Cases,  forceps,  hemostatic  (par.  915) do. . . 


600 

525 
525 

4 


24 
'572 


Cases,  general  operating  (par.  916) do . 


1,500 


106 
23 


1 
126 
31 
1 
3 
1 
5 


Remarks. 


1 
132 


144 
100 


2  additional  in  each  medical 
and  surgical  chest,  6  addi- 
tional in  sterilizer  chest. 

1  additional  in  supplemen- 
tary chest. 


1  additional  in  each  medical 
and  siirgical  chest,  2  addi- 
tional in  supplementary 
chest. 

6A  dozen  additional  in  each 
'medical  and  surgical  chest. 

J  dozen  additional  in  each 
medical  and  surgical  chest. 

1  additional  in  each  medical 
and  smgical  chest. 

1  dozen  additional  in  supple- 
mentary chest. 

In  large  bedding  cases,  50  in 
each. 


May  be  enamel  ware  or  monel 
rnetal. 

2  additional  in  each  medical 
and  surgical  chest,  4  addi- 
tional in  sterilizer  chest. 


In  large  bedding  cases,  44  in 
each. 

In  large  bedding  cases,  20  in 

each. 
In  commercial  boxes,  35  in 

each. 


6  additional  in  supplemen- 
tary chest. 

1  gross  additional  in  each 
medical  and  surgical  chest. 

8  additional  in  each  medical 
and  surgical  chest. 


6  additional  in  each  medical 
and  surgical  chest,  6  addi- 
tional in  sterilizer  chest. 


Containers  for  bedding,  etc. 
Do. 


1  additional  in  each  medical 
and  surgical  chest. 


298 


MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 


Medical  supplies — Continued. 


Articles. 


gs 


Remarks. 


Miscellaneous— Continued. 

Case,  genito-nrinary  (par.  917) number.. 

Cases,  instrumtnt.  midical  ulhcer's  (par.  919) do 

Cases,  medicine,  medical  officer's  (par.  920) do 

Case,  microscopical  supplies,  supplementary  (par.  921), 

number. 
Case,  operating,  small  (par.  922) number. . 

Case,  post  mortem  (par.  924) do 

Case,  tooth  extracting,  3  forceps  in  canvas  roll do 

Catheters,  flexible,  assorted,   Kos.  15,  17,  18,  20,  22,  24, 
French  scale,  number. 


Chairs,  folding number. 

Chests,  acetylene  (par.  927) do. .. 

Chests,  commode  (par.  928) do. . . 

Chests,  cooking  utensils  (par.  929) do. . . 

Chests,  medical  and  surgical  (par.  932) do. . . 

Chest,  medical  and  surgical,  supplementary  (par.  933), 
number. 

Chests,  sterilizer  (par.  935) number. . 

Chests,  tableware  (par.  936) do 

Chest,  tool.  No.  1  (par.  937) do 

Chest,  tool,  No.  2  (par.  938) do 

Close  stools.    (See  Pails,  commode.) 

Cocoa,  S-ounce  tins tins.. 

Coflee,  ground,  2  pounds  in  tin... do 

Corks,  assorted,  300  in  bag bags . . 

Corkscrews number.. 


Cots do 

Cotton,  absorbent,  in  roll pounds. . 

Cotton,    absorbent,    sterilized,    in    1-ounce.  package, 
packages. 

Crutches pairs. . 

Crutches,  rubber  tips  for number. . 

Cups,  enamel  ware do 


Cushions,  rubber,  open  center do. 

Cushions,  rubber,  small do. 

Cushions,  surgical,  Kelly's do. 

Desk.s,  field.  No.  1  (par.  940) do. 

Desk,ji(ld,  No.  2  (par.  941) do. 

Dippers do. 

Dishes,  i^etri's,  for  needles,  etc do. 

Eye  shades,  single do. 


First-aid  packets  (par.  944) do. 

Flag,  staff  for,  complete do. 


Flasks,  empty  (par.  864) do 

Flasks,  empty  (par.  907) do 

Flasks,  KrUnmtyer ,  2-liter do 

Food,  ambulance  boxes  o/(par.  947) do 

Food,  boxes  of  {par.  948) do 

Gauze,  plain,  in  .T-yard  rolls rolls. . 

Gauze,  plain,  sterilized,  2  half-yard  lengths  in  package^ 

packages. 
Gauze,  sublimated,  2  half-yard  lengths  in  package, 

packages. 

Globes,  lantern.    (See  Lanterns,  globes  for.) 

Gloves,  rubber,  sizes  8  and  9 pairs. . 


Oowns,  operating number. 

Graduates,  glass,  100 c.  c do — 

Graduates,  glass,  250  c.c do — 


250 
3 
6 
2 
1 
1 


450 

72 

2,000 


525 

72 

2,000 


200 
1 


180 
750 

2,250 


180 
750 

2,250 


48 


30 
2,000 


1,000 


2, 250 


1  additional  in  each  medical 
and  surgical  chest. 

Do. 
3  additional  in  each  medical 
and  surgical  chest:  6  addi- 
tional   m    supplementary 
chest. 


1  additional  in  supplemen- 
tary cliest  and  1  in  medical 
and  surgical  chest. 


26  packages  additional  in 
each  medical  and  surgical 
chest: 


1  additional  in  each  medical 
and  surgical  chest;  2  addi- 
tional in  supplementary 
chest. 


6  additional  in  supplemen- 
tary chest. 

Flags  and  halyards  fuinished 
by  Quartermaster  Corps 
(see  par.  892). 


40  packages  additional  in 
each  medical  and  surgical 
chest. 

2  pairs  additional  in  each 
medical  and  surgical  chest: 
8  additional  in  sterilizer 
chest. 

1  additional  in  supplemen- 
tary chest. 


FIELD   SUPPLY   TABLES. 


299 


Medical  supplies — Continued. 


Articles. 


Miscellaneous— Continued. 

Hard  bread,  one-hrtlf  pound  in  carton cartons. 

Head  mirror,  in  case  (par.  933) number. 

Individual  dreesing  packets  (par.  949) do. . . 

Inhalers,  chloroform,  Esmarch,  with  drop  bottles do. . . 

Irrigators,  glass,  graduated,  2-liter do. . . 

Jars,  large,  for  dressings,  etc do. . . 

Jars,  small,  covered,  for  sutures,  dtc do. . . 

Lamps,  acctijhnc  (par.  874) a^'" 

Lantern-'!, folding do. . . 

Lanterns,  f;lobes  for,  green a" 

Lanterns,  globes  for,  white do... 

Lanterns,  wicks  for dozen. 

Lanterns,  without  globes  or  wicks number. 

Litters,  with  slings do 

Litters,  extra  canvas  for pieces. . 

Litters,  extra  tacks  for,  75  in  package packages. . 

Matches,  safety,  boxes dozen. . 

Medicine  droppers do  — 

Medicine  glasses number. . 

Microscope,  field,  with  accessory  case  (par.  950) do 

Milk,  condensed,  unsweetened,  1-pound  tin do 

tiortars  and  pestles,  porcelain,  7  cm do 

Mortars  and  pestles,  Wedgi  wood,  20  cm do 

Mosquito  bars.    (See  Bars,  mosquito.) 

Muslin,  unbleached yards. . 

Needles,  common,  assorted papers. . 

Needles,  surgical,  assorted dozen. 

Ophihalmo.tcope number. 

Pails,  commode  (close  stools) do — 

Pajamas,  coats do. . . 

Pajamas,  trousers do... 

Paper,  litmus,  blue  and  red,  100  strips  in  vial,  of  each, 
vials. 

Paper,  toilet packages. 

Paper,  wrapping,  brown quires. 

Pencils,  hair,  1  dozen  in  vial vials. 

Pill  tile,  hard  rubber number. . 

Pillow  cases,  cotton do 

Pillow  sacks do 

Pins,  common,  assorted papers. . 

Pins,  safety,  3  sizes gross. . 

Pitchers,  3-liter,  enamel  ware number. . 

Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch spools. . 

Plaster,  adhesive,  z.  o.,  5  yards  by  2i  inches do 

Plaster,  isinglass,  in  1-yard  roll yards. . 

Plaster,  moleskin do . . •. . 

Plaster  of  Paris,  4  pounds  in  tin tins. . 

Pus  basins number. . 

Razors  ( par.  932) do ... . 

Razors,  strops  for  (par.  932) do. . 

Regimental  hospital,  Equipment  "A"  (pars.  869  and 
872),  number. 


200 
3 


-         ^ 


12 

900 

900 

6 

100 
12 
12 

1 

1,200 

576 

24 

10 


200 
3 


1 

2,000 


Rope,  i-inch feet. . 

Saddle,  pack  (par.  953) number. . 

Scales  and  weights,  apothecary's,  metricsystem  (par.  845), 

number. 
Scissors  (par.  932) number. 


45 
6 

12 
1 

18 

990 

990 

6 

150 
48 
12 

1 

2,000 

576 

24 

10 

3 

72 

36 
12 
20 
15 
3 


Kemarks. 


192 
2 


90 
90 
12 

100 


120 
120 


*1  in  supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 


6  boxes  additional  in  each 
medical  and  surgical  chest; 
6  in  sterilizer  chest. 

i  dozen  additional  in  supple- 
mentary chest. 

1  additional  in  each  medical 
and  surgical  chest. 


Do. 


2  additional  in  supplemen- 
tary chest. 
Additional  in  operat  ing  cases. 


\In   large   bedding  cases,   90 
(    suits  to  the  case. 
1  additional   in  supplemen- 
tary chest. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

In  small  beddiugcases,  400in 
each. 

In  small  beddiugcases,  144m 
each.  . 

1  additional  in  each  medical 
and  surgical  chest. 

2  dozen  additional  in  each 
medical  and  surgical  chest. 

For  operating  room. 

3  additional  in  each  medical 
and  surgical  chest. 


300 
1 


*1  in  each  medical  and  sur- 
gical chest. 
Do. 

Should  be  kept  intact  for 
prompt  issue  in  case  a  regi- 
ment is  detached  for  inde- 
pendent action. 


1  additional  in  each  medical 
and  siu'gical  chost. 


300 


MANUAL   FOR   THE   MEDICAL  DEPAETMENT. 


Medical  su  pplies — C 'onti  nued . 


Articles. 


Miscellaneous— Continued. 

Sheeting,  rubber yards. . 

Sheets,  cotton •. number.. 

Silk,  oiled,  in  .>yard  roll rolls. . 

Soap,  hand cakes. . 


Soap,  Ivory do 

Soup,  assorted,  1-pound  tin tins. . 

Spatulas,  S-inch  (par.  932) number. . 

Specula,  car,  set  of  3  (par.  933) sets. . 

Speculum,  rectal  (par.  933) number. . 

Splints,  coaptation,  .5  in  set sets.. 

Splints,  Hodgen's,  right  and  left,  of  each number. . 

Splints,  wire  gauze  lor,  1  yard  m  roll rolls. . 

Splints,  wood-veneer number. , 

Sponges,  gauze,  1  dozen  in  box boxes. . 

Spools,  glass,  Halstead's number. . 

Sterilizer ,  for  dressings do 

Stethoscopes,  double  (par.  933) do 

Stoppers,  rubber,  for  4-ounce  vials dozen. . 

Stools,  revolving,  w.  e number. . 

Stoves,  alcohol do 

Stoves,  alcohol,  extra  wicks  for do 

Sugar,  granulated,  4  pounds  in  tin tins. . 

Surgical  dressings  (par.  95.5) boxes. . 

Surgical  dressings,  ambulan-ce  (par.  954) do 

Sutures,  catgut,  chromicized,  sterilized,  18  inches  each, 

3  sizes  in  package,  packages. 
Sutures,  catgut,  plain,  sterilized,  18  inches  each,  3 sizes 

in  package,  packages. 

Sutures,  horsehair,  100  in  coil coils. . 

Sutures,  silk,  braided,  sterilized,  18  inches  each,  3  sizes 

in  package,  packages. 

Sutures,  silkworm  gut,  100  in  coil .^ ;...,.. .....coils.. 

'f       '  'J I 

Sutures ,  sih-er- wire,  yard  lengths . . . . ; .....  yards . . 

Syringes,  fountain.    (See  Bags,  rubber,  hot-water,  and 

syringe.) 

Syringes,  hypodermic  (par.  956) number. . 

Syringes,  hypodermic,  extra  needles  for do 

Syringes,  penis,  glass,  in  case do.... 

Syringe,  rectal,  h.r.,  6-ounce  (par.  933) do.... 

Tables,  bedside,  folding do 

Tables  for  instruments do 

Tables,  mess,  folding do 

Tables,  operating,  field,  folding do 

Table,  operating,  post  standard do 

Tags,  diagnosis books. . 


Tape  measure, 60  inches number.. 

Tea,  green  or  black,  i  pound  in  package package.s. . 

Test  tubes,  3  in  nest". ". n(«ls . . 

Test  tubes,  1  by  12  inches dozen.. 

Thermometers,  clinical number. . 

Thread,  cotton,  assorted spools. . 

Tongue  depressors,  metal number. . 

Tourniquets  (par.  907) do 

Tourniquets  and  bandages,  rubber do 


20 
1,320 


500 
500 


12 
300 


30 
1,920 


800 
800 


24 

'iuo 


100 
200 


12 

IG 

24 

12 

.300 

500 


12 

144 


Remarks. 


In  .small  bedduig  cases .  12Q  in 
each. 

2  additional  in  each  medical 
and  surgical  chest:  h  addi- 
tional in  sterilizer  chest,  v. 


1  additional  in  each  medical 

and  surgical  chesi. 
*1  in  supDlementary  chest. 
I>o. 


12  additional  in  supplemen- 
tary chest. 


*1  Arnold  sterilizer  in  steri- 
lizer chest. 

1  additional  in  supplemen- 
tary chest. 

For  operating  room. 
1     additional    in    sterilizer 
chest. 


10  additional  in  each  medical 

aiid  surgical  chest. 
20  additional  in  each  medical 

and  surgical  chest. 

10  additional  in  each  medical 

and  surgical  cliest. 
1  additional  in  each  medical 

and  surgical  chest. 


Do. 

12  additional  in  each  medical 
and  siu'gieal  chest. 

12  additional  in  supplemen- 
tary chest. 

*1  in  "supplementary  chest. 


2  additional  in  each  medical 
and  surgical  chest:  12  addi- 
tional   in   supploraentarv 

chest. 

1  additional  in  supplemen- 
tary chest. 

2  additional  in  sikpplemen- 
tary  chest. 

G  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary cliest. 

1  additional  in  each  medical 
and  suruical  chest. 

For  Hospital  <'orj)s  belts. 

I  additional  in  each  medical 
and  surgical  chest. 


FIELD   SUPPI>Y    TABLES. 


301 


Medical  supplies — Continued. 


Articles. 


Miscellaneous— Continued. 

Towels,  baih dozen. 

Towels,  di.sh do. . . 

Towels,  hand do... 

Trays ,  instrument ,  enamel  ware number. 

Tnbc,  stomach do . . . 

Tubing,  drainage,  unperforated,  Nos.  1,  2,  and  3. yards. 


Twine,  coarse pounds. 

Twine,  fine do . . . 

Typeivrilers number. 

Type\vTiters,  record  ribbons  for do. . . 

Urinals,  enamel  ware  or  agate  ware do. . . 

Urinomelers do... 

Venereal  prnphylaiis  unit  (par.  958) do. . . 

Vials,  l-ounce dozen. 

Vials,  2-ounce do. . . 

Vials,  4-ounce do... 

Wire  cutters number. 


Total  weifjht,  packed pounds. 

Cubic  space feet. 


30 


6 
144 

3 

* 

30 


"5  3 


34,663l44,31i;i4,862 


2,104   2, 938 


774 


Kemarks. 


In  large  bedding  cases,  5 
dozen  in  each. 

2  dozen  additional  in  chest, 
cookini;  utensils. 

In  small  bedding  cases,  24 
dozen  in  each. 

2  additional  in  sterilizer  chest. 

*1  in  snpplomcntary  chest. 

2  pieces  additional  in  each 
medical  ami  surgical  chest: 
(i  additional  in  supplemen- 
tary chest. 


892. 


QUARTERMASTEK  SUPPLIES. 

[These  supplies  are  not  kept  in  store  in  Medical  Department  depots.] 


Articles. 


A  xes,  with  helves number 

Bags,  water,  sterilizing do . . 

Brush,  marking , do. . 

Bugles,  with  slin^... ; ; : do. . 

Canvas,  12.4  oim'ces. ,.  .  .-t    . .,.     , f-,-rtn ■; yards 

Cement,  ambroid. : . .-  J ..  .W. . . i,'.'.  i ilvA '.  t . .  .otmces 

Flag,  distinguishing,  Bed  Cross number 

Flag,  halyards  for ; do . 

Flag,  national,  storm do. . 

Lampblack .^ ; ,.  i .  .pounds 

Oven,  field.  No.  1,  complete .'..'...'.; . .  .number 

PauUns do. . 

Pickaxes,  with  helves^ .   do. . 

Pot,  marking do. . 

Rakes,  steel do. . 

Range,  field,  JVo.  1 do. . 

Spades do. . 

Stick,  size,  shoe do . . 

Stoves,  tent,  with  pipe  and  other  accessories do. . 


Stretcher,  shoe do 

Tape  memure,  foot do. . . . 

Tentage,  heavy: 

Canvas,  latrine  screen do 

Covers,  canvas,  for  ward  tents do 

Tents,  hospital,  com.plete do 

Tents,  pyramidal,  large,  complete.'. do 

Tents,  wall,  small,  cornplete do 

Tents,  ward,  complete' do 

Total  weight,  packed pounds . . 


Evacua- 
tion 
hospital. 


19,275 


Base 
hospital. 


2,922 


Remarks. 


For  repair  of  tents. 
Do. 

[staff  furnished    by   M.    D. 
j     (See  par.  891.) 

See  Appendix:    Quartermas- 
ter Supplies. 


For  contents  see  Equipment 
Tables,  Q,.  M.  Supplies. 


*When  prescribed  For  al- 
lowance, see  Equipment 
Tables,  Q.  M.  Supplies. 


*Base  hospitals  will  be  fur- 
nished with  heav5'  tentage 
only  when  buildings  are 
not  available. 


302 


MANUAL   FOR   THE    MEDICAL  DEPARTMENT. 


BASE  MEDICAL  SUPPLY  DEPOT. 

(See  pars.  782  to  786.] 

893.  The  supplies  to  be  kept  for  issue  by  the  depots  in  the  theater 
of  operations  are  determined  upon  as  indicated  in  paragraph  782. 

894.  As  a  guide  in  organizing  a  base  medical  supply  depot  the 
following  list  of  articles  is  suggested  as  meeting  the  requirements  for 
office  and  storeroom  equipment. 

(a)  MEDICAIi  SUPPIilBS. 


Blank  forms  (see  pars.  960  to  96.5). 

Brooms,  corn number.. 

Buckets,  galvanized  iron do 

Chcst,todl,No.  1  (par.  937) do.... 

Desks,  field,  No.  1  ( par.  940) do ... . 

Lanterns,  globes  for,  white do — 

Lanterns,  wicks  for dozen . . 

Lanterns,  without  globes  or  wicks number. . 


Paper,  wrapping,  brown quires. . 

Scales  and  weights,  platform number. . ! 

Stationery  (to  be  selected  from  post  supplies, 
par.  844).  I 

Twine,  coarse pounds. . 

Twine,  fine do 

Typewriters number. . ' 

Typewriters,  record  ribbons  for do —  i 


(6)  QUARTERMASTER  SUPPLIES. 


Axes,  with  helves number. . 

Brushes,  marking do 

Cans,  drinking  water do 

Flag,  distinguishing,  Red  Cross do 

Flag,  halyards  for do 


Flag,  national,  storm number. 

Lampblack pounds. 

Pots,  marking number. 

Range,  field,  No.  2 _ do . . . 

Spades ' do. . . 


ADVANCE  MEDICAL  SUPPLY  DEPOT. 

(See  pars.  787  to  792.) 

895.  If  the  advance  depot  is  more  or  less  stationary  and  occupy- 
ing buildings  it  will  be  organized  like  the  base  depot  and  require 
similar  equipment.  On  the  other  hand,  if  this  depot  is  keeping  in 
close  touch  with  troops  in  active  operations  it  will  constitute  a 
rolling  reserve  for  the  divisions  at  the  front.  Under  these  condi- 
tions its  own  equipment  and  the  supplies  it  keeps  on  hand  for  issue 
will  be  limited  by  the  character  and  quantity  of  transportation 
available  for  its  use. 

FIELD   LABORATORY. 

896.  The  technical  supplies  for  a  field  laboratory  are  contained  in 
the  following  chests,  case,  etc.  The  other  equipment  necessary  in 
furnishing  the  laboratory  will  be  supplied  on  requisitions  approved 
by  the  surgeon,  base  group. 


Case,  microscopical  supplies,  supplementary 

(par.  921) number. . 

Chest,  futd  laljoratory  No  1  (par.  930) . .  .do 

Chest,  fidd  laboratory  No.  2  (par.  931)..  .do 

Crate,  fit  Id  laljoratory  (par.  939) do 


Microscope,  field,  with  accessory  case  (par. 
950) number . . . 

Total  weight pounds . . 


FIELD   SUPPLY   TABLES.  303 

EVACUATION  AMBULANCE  COMPANY. 

897.  The  supplies  and  equipment  of  an  evacuation  ambulance  com- 
pany are,  with  the  exceptions  noted  in  paragraph  806,  similar  to 
those  of  an  ambulance  company.  The  dressing-station  supphes  may 
be  used  in  establishing  rest  stations. 

HOSPITAL  SHIPS  AND    SHIPS  FOR  PATIENTS. 

898.  These  ships  will  be  equipped  under  special  instructions  from 
the  Surgeon  General. 

HOSPITAL  TRAINS  AND   TRAINS  FOR  PATIENTS. 

899.  Hospital  trains,  to  consist  ordinarily  of  10  cars,  will  br 
equipped  under  special  instructions  from  the  Surgeon  General. 

900.  Litter  fittings  for  the  conversion  of  box  cars  for  hospital  pur- 
poses are  supplied  by  the  Medical  Department.  These  fittings  are  so 
assembled  as  to  provide  transportation  for  24  recumbent  patients  in. 
each  car. 

OFFICE  OF  THE  CHIEF  SURGEON,  FIELD  ARMY,  AND  OF 
THE  SURGEON,  BASE  GROUP. 

901.  No  definite  equipment  is  prescribed  for  these  offices.  The 
chief  surgeon,  field  army,  is  not  an  administrative  officer  and  will 
therefore  not  require  as  much  office  equipment  as  a  division  surgeon. 
On  the  other  hand,  as  no  transportation  is  required  for  the  ofl&ce 
equipment  of  the  surgeon,  base  group,  it  will  be  unnecessary  to  limit 
his  supplies  to  those  aUowed  division  surgeons.  (For  division  sur- 
geon's office  equipment  see  par.  884.) 


ARTICLE   XX.— FORMULAE,   CONTENTS  OF 
CHESTS,  (  ASES,  ETC. 

902.  FORMULAE  OF  NONOFFICIAL    COMPOUND    MEDICI- 
NAL PREPARATIONS,  LISTED  IN  THE  SUPPLY  TABLES. 


Foot  pnwdfr. 

Acidum  salicylicum parts. . 

Aniyluni <io 

Talcum  pulvis do 

Hydrargj/richhridumcorrosirvm,  tablets  {anti- 
septic). 

Ammoiiii  chloridum mgms. . 

Hydrargyri  chloridum  corrosivum .  .mgms. . 
One  tablet  to  h  liter  of  water  makes  a  1  to 
1,000  solution. 

Linimentum  rubefacieTis. 

Camphora mgms. . 

Capsicum mgms. . 

Extraetum  lielladoruiae  foliorum mgms., 

Dissolve  2  tablets  in.30  c.  c.  of  alcohol. 

Mistura  gli/ci/rrhizac  composita,  tablets. 

Acidum  henzoicum mgms. . 

Antimonii  et  pot.  tartras mgms. . 

Extraetum  glvcvrrhizae  purum mgms. . 

Camphora. ...".."....  1 mgnis . 

Oleum  anisi .' mgms. , 

Opium mgms. 

Each  tablet  is  the  practical  equivalent  of 
4c.  c.  of  Brown  mLxture. 

Normal  saline  solution  tablets. 

Sodii  carbonas  monohvdratus,  chemically 
pure gms. 

Sodii  chloridum,  chemically  pure gms. 

Three  tablets  to  a  liter  make  a  0.6  per  cent 

solution  of  sodium  chlorid. 


475 
500 


2r,o 

250' 
250 


2.5 

1 

6 

2.5 

2.5 

2.5 


Peptonizing  tablets. 

Pancrcat  inum mgms. . 

Sodii  bicarbonas mgms. . 

One  tablet  jieptonizes  250  c.  c.  of  milk. 

Pilnlac  aloini  compositac,  chocolate  coated. 

Aloinum mgms. . 

Belladonnae  fol.  ext mgms. , 

Oleoresina  capsici .mgms. 

Podoph  vUi  resina mgms. 

Strychn'ina mgms. . 

Pilulae  camphorae  et  opii. 

Camphora mgms. 

Opium mgms. 

Pilulae  copaibae  composiiae. 

Copaiba mgms. 

Ferri  citras mgms . 

Guaiacum mgms. 

Oleoresina  cubebae mgms. 

Pilulae  ferri  composilae. 

Ferri  pyrophosphas mgms. 

Quininae  sulphas mgms . 

Strychninae  sulphas ragms. 

Sodii  bicarb,  et  mentha  pip.,  tablets. 

Ammonii  carbonas mgms. 

Oleum  menthae  piperitae mgms. 

Sodii  iMcarbonas mgms. 


162 
487. 5 


8 
2.7 

8 


130 
65 


100 
24 
24 
40 


16 

5 

2g8 


CONTENTS  OF  CHESTS,  CASES,  ETC.,  AND  SPARE  PARTSc 

903.  APPARATUS,  COMPRESSED   AIR. 


Mr  container,  with  gauge number. 

Cutoff,  metal do. . . 

Force  pump do . . . 

Sprays,  De  Vilbiss's,  in  set,  viz: ' 

Atomizer,  Fig.  56 ,. .  .do. . . 

A tomizer,  Fig.  80 do. . . 


Spravf,  De  Vilbiss's,  in  set, viz— Continued. 

A  lomizers.  Fig.  52 number . . 

Brclt.  four  holes do 

Tubin>.',  thick  rubber,  connecting  container 

with  force  pump yards. . 

Tubing,  thick  rubber,  silk-covered,  coimect- 
ing  container  with  cut-off yards.. 


1  For  larger  posts,  recrait  depots,  and  general  hospitals  a  larger  set  may  be  furnished. 


1.2 
2.4 


904. 


APPARATUS,  RESTRAINT. 

(In  wooden  boz,  with  handle  and  lock.) 


Anklets pairs . 

Keys  to  lock  buckles number. 

Muff,  leather do. . . 


Strap,  bed number . 

Strap,  waist do. . . 

Wristlets pairs. 


304 


J?'ORMULAE,   COXTENTS   OF    CHESTS,   CASES.   ETC. 


305 


905. 


BAO,  OBSTETRICAI,. 

(/n  leather  case.) 


Cases,  canvas,  for  insfniments number. . 

Contahur,  metal,  for  sutures do 

Contai-nrrs,  metal,  uith  bottles  for  antiseptic 
tablet,'!,  ctiloroform,  and  ergot,  and  jar  for 

petroliifum number. . 

Cranioclast do 

Forceps,  obstetrical,  Elliott's do 

Forceps,  obstetrical,   Tarnier's,  axis  traction. 

Luck's  modification number. . 

Forceps,  placental do 


Hook,  blunt,  Braun's number. 

Needle  holder do. . . 

Needles,  case  for do. . . 

Needles,  surgical,  assorted do . . . 

Pehnmeter,  Martin's do. . . 

Perforator,  Sviellie's do. . . 

Scissors,  curved  on  flat,  one  point  sharp,  8*", 

Sim's ...number. 

Sutures,  catgut grams. 

Sutures,  silk do... 


906. 


BEDPANS,  ETC.,  BOX  OF. 

{Pine  box  uith  hinged  lid  and  hasps,  u- eight  88  pounds.) 


Bedpans,  u-hite  enamel number. . 

Poti,  chamber,  white  enamel do. . 


Urinals,  white  enamel number. , 


907-  BELT,  WEB,  HOSPITAL.   CORPS. 

(The  belt  itself,  with  pouch  for  instruments,  is  furnished  by  the  Ordnance  Department.) 

COXTENTS    OF    BELT. 


Articles. 


Place  in  belt.    (Pockets  are  numbered  from  left 
front  aroimd  belt  to  right  front.) 


Bandages,  gauze,  compressed number. . 

Gauze,  sublimated,  two  J- yard  pieces  in  package, 

packages 

Individual  dressing  packets  (par.  949) .  .number. . 

Iodine  swabs,  6  in  box bo.xes. . 

Pins,  common papers. . 

Pins,  safety dozen.. 

Plaster,  adhesive,  z.  c,  5  yards  by  1  inch  .spools. . 
Spirilus  ammoniae  aromaticus,  in  flask  v: iih  cvp, 

flasks 

Tourniquet,  field number. . 


Pocket  No.  9. 

Pocket  No.  3. 

Pockets  Nos.  4,5,6, 7,  and  S. 

Pocket  No.  2. 

Pocket  No.  10,  front  compartment. 

Pocket  No.  1,  front  compartment. 

Pocket  No.  1. 

Pocket  No.  10. 
Pocket  No.  1. 


CONTENTS    OF    POUCH. 


Case,  linen  or  canvas,  containing: 

Forceps,  dressing number. 

Scissors,  dressing do. . . 


Pencil,  lead,  with  metal  cap number. 

1      Tags,  diagnosis books. 

1 


Note. — Medical  officers  are  authorized  to  make  such  changes  as  they  desire  in  the  expendable  contents 
of  the  belts  worn  by  their  orderlies.  Under  some  circumstances  it  m.ay  also  be  desirable  to  make  substi- 
tutions in  the  contents  of  belts  worn  by  noncommissioned  officers.  In  case  of  transfer  of  the  belt  to  another 
medical  officer  the  standard  contents  "should  be  restored. 


93440°— 17- 


-20 


306 


MANUAL   FOE    THE    MEDICAL   DEPARTMENT. 


908. 


BOOKS,  MEDICAL.,  BOX  OF. 

(Pine  box  with  hinged  lid,  hasp,  and  padlock,  treight  about  SB  ■pcunis.') 


Contains  such  works  on  surgery,  practice  of  medicine,  therapeu- 
tics, mihtary  hygiene,  tropical  diseases,  nursing,  and  medical  field 
service  as  may  be  selected  by  the  Surgeon  General. 

The  list  of  books  on  the  inside  of  lid,  signed  by  the  officer  in  charge 
of  a  supply  depots  will  be  the  authorized  list  of  contents.  ^ 

QQQ  BOXES,  PACK   MUIiB. 

These  boxes  are  fiber  or  canvas  covered  chests  with  locks  and  keys 
and  with  outside  dimensions  approximately  the  same  as  those  of  the 
medical  and  surgical  chest  (par.  932).  The  number  of  each  box  is 
plainly  marked  on  the  outside,  and  on  the  inside  of  the  cover  of  each 
box  is  a  list  of  the  articles  it  is  intended  to  contain,  with  directions  for 
packing  them. 

.  Box  No.  1,  with  contents,  and  one  medical  and  surgical  chest,  con- 
stitute the  side  loads  for  the  pack  mule  assigned  to  the  sanitary  service 
of  each  regiment.     (See  par.  868.) 

Boxes  Nos.  2,  3,  4,  5,  6,  7,  and  8  with  their  contents,  and  one  med- 
ical and  surgical  chest,  constitute  the  side  loads  of  the  ambulance 
company  pack  mules.     (See  par.  878.) 

Tlie  weight  of  each  box,  empty,  must  nou  exceed  30  pounds,  except 
that  of  box  No.  2,  which  may  be  31  pounds. 

Note.— Until  the  supply  is  exhausted  empty  surgical  chests  (par.  894,  M.  M.  D.  1911)  with  certain  modi- 
fications of  the  trays  will  be  issued  in  place  of  boxes  3,4,5,  and  6  of  the  new  model. 


910. 


CASE,  ASPIRATING. 

{In  metal  case.) 


Needles,  a^piratim number . 

Obturator,  blunt,  for  canula do. . . 

Pump fio. . . 

Trocar  and  canula  with  stopcock do. . . 


Tube,  double  current,  metal,  with  rubber  stop- 
per  number. 

Tube,  metal,  with  extra  wires do. . . 

Tubing  attachments do. . . 

TuDing,  rubber pieces. 


Note.— Many  of  the  older  cases  are  of  leather  or  wood. 
qj J  CASE,  DENTAL.. 

{In  leather-covered  case.) 


Burnishers,  Nos.  3  SO,  ,i6 number. . 

Chisels,  Nos.  5  and  6 do 

Drill,  lint,  spear-pointed  J  No.  102 do 

Engine  bit  holder,  revolmn-g  head do 

Explorer,  No.  5 do 

Excavators,  Nos.  10,  U,  10,  21,  J,l ,  SS,  86,  l.U, 

US,  1J,6 numlier.. 

Files,  Nos.  00, 0, 1,  of  each do — 


Forceps,  college number. 

(iuttu-perclia  stopping <  unccs. 

IlciiilUsfur  instruments number. 

Hone ilo. . . 

Mirror do... 

Paper,  bibulous sheets. 

Scaler,  No.  3 number. 

Spatula,  No.  1 do. . . 


FORMULAE,   CONTENTS   OF   CHESTS,   CASES,   ETC. 


307 


912. 


CASE,  EAR,  TS'OSE,  AND   THROAT. 

(a)    MODEL   OF    1916. 


(In  canvas  roll,  %vitli  metal  cctxe  for  delicate  instruments.    Outline  of  instruments  stamped  on  roll  and  names 
of  contained  instruments  stamped  in  case.) 


Adenatome,  La  Force number. . 

Applicators,  nasal,  special da 

A  pplicators,  nasal,  Bosworth's do 

Catheters,  eustachian ,  silver,  sizes  1,2,  S.&o 

Chisels,  mastoid,  Schwartz's,  sizes  1  and  H, 

number 

Chisel, nasal,  Freer's-submucous . . .number. . 
Curettes,  adenoid,  Barnhill's,  sizes  1,  S,  4, 

number 

Curettes,   mastoid,   Buck's,  sizes   1    and   3, 

number 

Elevator,    dull-edged,    Freer's,    submucous, 

number 

Elevator,    sharp-edged,   Freer's,   submucous, 

number 

Forceps,  ear,  angular,  Wilde's number. . 

Forceps,  nasal, angular.  Knight's do 

Forceps,  ossophageal,  spiral do 

Forceps,  septum,  compression,  A sch's.  .do 

Forceps,  septum,  Jansen- Middlelon,  modi- 
fied   number. . 

Forceps,  tonsil-seizing,  Burrows do 

Oag,  mouth,  Denhart's do 

Gouges,  mastoid,  Schwartz's,  sizes  1  and  2, 

number 

Headband,  metal,  folding,  TTorra^rs. number. . 
Head   mirror,  Scinch,  with  ^inch  opening, 

number 

Knife,  paracentesis,  small,  light,  flexible  shank, 

number 


Knife,  submucous,  Freer's,  flat,  round- 
bladed number. 

Knife,  submucous,  Freer's,  half-round, 
straight number. 

Knife,  ''wivtl,  Ballenger's,  small  size. .  .do. . . 

Knives,  turbinate,  Ballenger's,  right  and  left, 
of  each 1 number. 

Mirrors,  laryngeal,  boilablei^inch  and  l-imh 
diameter) number . 

Otoscope,  Siegel's,  pneumatic,  with  3  specula, 
number 

Punch,  antrum,  Wagner's,  consisting  of  1 
universal  handle,  with  1  forward  and  1  hack- 
ward  cutting  tip number. 

Scissors,  nasal,  Watson's,  saw-edge do 

Separator,  tonsil,  special  model do. . . 

Snare,  tonsil,  Tyding's,  1  plain  and  1  ring  tip, 
number 

Specula,  ear,  Brown's,  metal,  set  of  3 sets. 

Speculum,nasal, bivalve, Bosworth's. number. 

Speculum, nasal, septal,  Goldstein do.. . 

Syringe,  ear,  with  metal  shield,  Pomeroy's, 
3-ounce number. 

Syringe,  tonsil,  with  extension,  metal,  with  3 
finger  rings  and  2  needles,  gold  points,  1 
curved  and  1  straight number . 

Tongue  depressor,  Bosworth's ; . . .  do . . . 

Tube,  diagnostic,  Tnynbee's do. . . 

Wire,  for  snares,  sizes  3,  5, 7 spools. 


(6)   MODEL   OF   1913. 

(In  canvas  roll,  with  metal  case  for  delicate  instruments.    Outline  of  instruments  stamped  on  roll  and  names 
of  contained  instruments  stamped  in  case.) 


Applicators,  nasal,  Allen's number. . 

•  Applicators, nasal, Bosioorth's do 

Cattieters,  eustachian ,  sibber,  sizes,  1,2, 3. do 

Chisels,  mastoid,  Schwartz's,  sizes  1  and  2, 

number 

Chisel, nasal,  Freer's,  submucous... nuxahev.. 
Curettes,  adenoid,  Barnhill's,  sizes  1,  3,  4t 

number. 

Curettes,  mastoid.  Buck's,  sizes  1   and  3, 

nu  mber 

Elevator,    dull-edged,    Freer's,    submucous, 

number 

Elevator,    sharp-edged,  Freer's,   submucous, 

number 

Forceps,  ear,  angular,  Wilde's number. . 

Forceps,  nasal,  angular.  Knight's do 

Forceps ,  cesophageal ,  spiral do 

Forceps,  postnasal,  Brandegee's do 

Forceps,     septum,     compression,     Ascii's, 

number 

Forceps,  tonsil-seizing,  Ballenger's. .number . . 

Gag,  mouth,  Denhart's do 

Gouges,  mastoid,  Schwartz's,  sizes  1  and  2, 

number 

Headband,  metal,  folding,  WorraW s. number . . 
Head  mirror.  Scinch,  with  ^inch  opening, 

number 

Knife,  paracentesis,  small,  light,  flexible  shank, 

number 


Knife,  submucous,  Freer's,flat,  round-bladed , 
number 

Knife  J     submucous,      Freer's,     half-round, 

straight number. 

Knife, swivel,  Ballenger's,. small  size do. . . 

Mirrors,  laryngeal,  boilable  (h-inch  and  1-inch 

diameter) ." number. 

Otoscope,  Siegel's, pneumatic,  with  3  specula, 

number 

Punch,  antrum,  Wagner's,  consisting  of  luni- 

versalhandle,  with  1  forward  and  1  backward 

cutting  tip number. 

Punch,   septum,    Foster-Ballcnger's,   small, 

number 

Saws,  nasal,  Bosworlli's,  1  up-cutting  and  1 

down-cutting number. 

Scissors,  nasal,  Watson's,  saw-edge do 

Snare,  tonsil,  "Tyding's,  1  plain  and  1  ring  tip, 

number 

Specula,  ear.  Brown's,  metal,  set  of  3 sets. 

Speculum,  nasalj  bivalve,  CoalUey's. number. 
Syringe,  ear,  with  metal  shield,  Pomeroy's, 

2-ounce number. 

Syringe,  tonsil,  with  extension,  metal,  with  3 

finger  rings  and  2  needles,  gold  points,  1 

curved  and  1  straight number. 

Tongue  depressor ,  Bosworth's do 

Tube,  diagnostic,  Toynbee's do 

Wire,  for  snares,  sizes  3,  5,  7 spools. 


Note. — A  number  of  older  model  cases  are  in  service,  contents  of  which  are  listed  in  par.  815;  M.  M.  D, 
1911. 


308 
913. 


MANUAL   FOR   THE    MEDICAL   DEPARTMENT, 

CASE,  EMEROENCY. 
{In  aluminum,  brass,  or  leather  case,  with  detachable  sling.) 


Tablets,  in  h-ounce  h.  r.  bottles; 

A  c  e  t  p"h  e  n  e  t  i  dinum    (Phenacetln), 

raeras 

Aspuiii mems. . 

Bismuthi  subnitras do  — 

Cafieina  citrata do 

Heroini  hydrochloridiim do 

IIydrarg\'Ti  chlor.  corros.  (par.  902) 

HvdrargJTi  chlor.  mite mgms. . 

Mistura  glycjtrh.  comp.  (par.  902) 

Morphinae  sulphas mgms . . 

Piliilae  aloini  comp.  (par.  902) 

Pilulae  camphorae  et  opii  (par.  902) 

Pilulae  cathart.  comp 

Pota.ssii  bromidum mgms. . 

Pul vis  ipecac,  et  opii do 

Quininae  sulphas do 

Sodii  bicarbonas do 

Sodii  bicarb,  et  menth.  pip.  (par.  902). . . 

Sodii  salicylas mgms. . 

Ttnctura  digitalis c.  c. . 

Veronal mgms. . 


324 

324 

324 

65 

5.5 


32 


324 
324 
200 
324 

324" 
0.3 

324 


Tablets,  hypodermic,  extra  (one  tube  of 
each): 

Digitalinum mgms . 

Quininae  hydrochlorosulphas do. . . 

Instruments,  etc.: 

Bistouries,  curved  and  straight,  of  each, 
number 

Case,  linen, for  instruments number. 

Forceps,  dissecting do. . . 

Forceps,  hemostatic do. . . 

Needles,  surgical,  assorted do. . . 

Plaster,  isinglass,  5  by  18  inches. .  .rolls. 

Scalpel number. 

Scissors,  straight do... 

Sutuies,  silk,  sterilized,  3  sizes  in  pack- 
age  .packages . 

Suture,  silver  wire,  sterilized,  1  yard, 
pac  kages 

Syringe,  hypodermic  ( par.  I'.'jO) .  .number. 

Thermometer,  clinical do . . . 


Note. — For  tropical  use  Ihe  contents  of  the  emergency  case,  as  listed  above,  are  packed  in  a  canvas  roll, 
each  roll  containing,  in  addition,  a  brass  box  for  sutures  and  hypodermic  tubes. 


914. 


CASE,  EYE. 
{In  mahogany  case.) 


Currette,  chalazion,  Mcyhocfer's,  size  & 
number 

Cystotome,  Graefe's number 

Dilator,  lachrymal,  Weber's, graduated,  .do. . 

Forceps,  chalazion,  A yer's do. . 

Forceps,  cilia,  plain do. . 

Forceps,  fixation,  Dudley's do. . 

Forceps,  iris,  angular do.. 

Forceps,  trachoma,  Noyes's do.'. 

Forceps,  trachoma,  Prince's do. . 

Keratome,  angular,  Jaeger's do . . 

Knife,  canaliculus,  half-curved,  Weber's 
number 

Knives,  cataract,  Graefe's,  B.  *&  C.  .number 

Lid  elevator,  Desmarre's do.. 

Lid  holder,  hard  rubber,  Jaeger's do. . 

Needle,  cataract,  narrow do.. 


Needle  holder,  Stevens's number. 

Needle,  knife,  Knapp's do . . . 

Needles,  assorted,  full  cm'ved do. . . 

Probes,  lachrymal.  Bowman's,  4  in  set.. sets. 

Scalpel,  small number. 

Scissors,  enucleation,  full  curved do. . . 

Scissors,  iris do. . . 

Scissors,  tenotomy,  Stevens's do. . . 

Scoop,  Graefe's,  hard  rubber do. . . 

Spatula  and  probe,  one  handle do... 

Speculum,  Noyes's do. . . 

Spud,  Dir's,  on  fixed  handle do... 

Suringe,  lachryinal,  Anel's,  all  metal,  with  3 

tips number. 

Tenotomy  hook do. . . 

Test  drum,  with  cannepin  and  Beudruchc 

skin number. 


916. 


CASE,  FORCEPS,  HEMOSTATIC. 

(In  canvas  roil.) 


Halstead's  curved number. . 

Halstead's  mosquito do 


Jones's  straight. . . 


.number.. 


Note. — In  the  older  issues  the  forceps  are  contained  in  a  leather  case. 


FORMULAE,   CONTENTS   OF   CHESTS.   CASES,   ETC. 


309 


916. 


CASE,  GENEUAIj  OPERATING!. 


(In  canvas  roll,  with  two  metal  boxes  as  containers.    Outline  of  instruments  stamped  on  cnnvas  and  names 

written  in  metal  box.) 


Bistoury ,  curved ,  probe  pointed number 

Bistoury,  curved,  sharp  pointed qo.  . . 

Bistoury,  straight,  sharp  pointed do. . . 

Bougie,  filiform do. . . 

Box,  suture,  with  S  spools do. .. 

Buttons,  Murphy's,  S  inset sets. 

Catheter,  silver,  No.  18,  French  scoie. number. 

Catheter, staff, tunneled,  Gouley's do... 

Chisel do... 

Clamps,  intestinal.  Murphy's do. . . 

Director,  grooved,  medium do. . . 

Drills,  bone,  in  handle,  set  of  S sets. 

Earhook  and  spoon.  Gross's number. 

Elevator  and  raspatory do... 

Eye  spud,  Dii's do. .. 

lorceps,    bone    cutting,    flat    blade,    Lis- 

ton's number. 

Forceps,  bullet,  long,  Senn's do. . . 

Forceps,  clamp, compression,  Kelly's. .  .do. . . 
Forceps,  clamp,  compression,  Pean's. .  .do. . . 

Forceps,  clamp,  straight,  6-inch do. . . 

Forceps,  delicate,  spring ao. . . 

Forceps,  dressing  and  bullet,  Forwood's.do. . . 

Forceps,  dressing,  spring do. . . 

Forceps,  hemostatic,  curved,  Hal  stead's. do. . . 
Forceps, hemostatic,  Jones's, 2-inch  bite. do.. . 
Forceps,  hemostatic,  straight,  small  jaw. ao. . . 

Forceps,  mouse  tooth do... 

Forceps,   rongeur   and    bone   holding,    For- 

wood's number. 

Forceps ,  T-shaped,  Pratt's do . . . 

Gag,  mouth do. . . 

Gouge do. . . 

Guide,  filiform,  Gouley's do... 

Knife, amputating ,  large, 7-inch  blade. .  .do. . . 
Knife,  cartilage do... 


Mallet,  Forwood's number . . 

Needle,  aneurism do 

Needle,  helical do 

Needle  holder,  Truaz's  or  Richter's do 

Needles,  artery,  blunt,  right  and  left do 

Needles,  case  for do 

Needles,  curved,  assorted do 

Needle,  open-eyed,  Kobinson's do 

Needles,  straight,  round » do 

Needles,  straight,  triangular do 

Pins,  Wyeth's do 

Probe,  aluminum do. . . . 

Probe,  double,  8-inch,  silver do 

Razor,  metal  handle do 

Retractors,  double  ends,  nested do 

Rongeur,  De  Vilbiss's,  with  extra  blade,  .do. . . 

Saw,  amputating,  2  blades do 

Saw,  metacarpal do 

Saws,  wire,  set  of  3,  with  handles set  s . . 

Scalpels,  assorted number . . 

Scissors,  angular do 

Scissors,  curved  on  flat do 

Scissors,  heavy,  blunt do 

Scoop,  Ferguson's,  with  elevator do 

Silkworm  gut coils. . 

Specula,  ear,  silver-plated,  set  of  3 sets. . 

Sutures,  horsehair,  100  strands  in  coil.  .eoUs. . 
Sutures,  silk,  3   assorted    sizes    in   pack- 
age   packages . . 

Syringe,  aspirating,  with  3  needles,  .number. . 

tongue  depressor,  wire,  folding do 

Trephine,  De  Vilbiss's do 

Trocar  and  canula,  silver,  set  of  4,  in  metal 

box sets.- 

Tube,  tracheotomy,  silver number. . 

"Wire,  silver,  Nos.  21  and 24 yards.. 


Note. — In  the  older  issues  the  instruments  are  contained  in  a  mahogany  or  oak  case  with  leather  pouch 
and  strap,  and  a  case  of  slightly  different  pattern  is  listed  under  par.  4G0,  M.  M.  D.,  1906. 

917.  CASE,  <JENI  TO -URINARY. 

(771  wooden  case,  or  canvas  roll  with  metal  box  for  more  delicate  instruments.) 


Bougies  a  boule,  Otis's,  metal/  nidi: el-plated, 
Nos.  8  to  30,  inclusive,  French  scale, 
number 

Catheters  and  staffs,  grooved,  Gouley's,  with 
stylets,  assorted  sizes number. . 

Catheter,  double  current,  silver do 

Catheter,  syringe,  prostatic do 

Dilator,  Thompson's,  modified  by  Gou- 
ley numuer. 

Director,  silver do... 

Forceps, urethral,  Thompson's do. . . 

Gauge, steel,  American  and  French do... 

Guides,  whalebone,  Gouley's do. . . 


Guides,  whalebone,  Otis's number. 

Meatotomts,  Otis's,  2  sizes do... 

Sounds,  Otis's,  short-beaked,  steel,  nickel- 
plated,  Nos.  20  to  SO,  inclusive,  Freiwh 
scale number. 

Sounds,  tunneled,  Gouley's do... 

Tenaculum,  Martin's do. . . 

Urethrotome,  dilating,  Otis's,  straight,  with  2 
blades number . 

Vrtthrotome,  Maisonneuve's,  No.  8,  French 
gauge,  with  2  blades,  2  filiform  bougies  and 
1  eitra  tunneled  tip  for  whalebone  guide, 
number 


Note. — There  are  in  service  a  number  of  cases  of  older  models,  which  contain  33  instead  of  23  bougies  a 
boule,  21  instead  of  11  sounds,  and  3  endoscopes,  hard  rubber,  together  with  the  other  instruments  listed. 


310 


MANUAL   FOR  THE   MEDICAL  DEPARTMENT. 


918. 


i'Jl'AWIl   V>1V 


CASE,  GYNECOLOGICAL. 

{In  canvas  case.) 


Canvas  case,  as  instrument  ftoWcr..  .number. . 

Curette,  double,  McLauren's do 

Curette,  Holbrook's  douche,  set  of  3,  with 

handle sets. . 

Depressor,  double  end,  Sims's number. . 

Dilator,  uterine.  M'athen's do 

Douche,  plain ,  L(onard's do 

Forceps,  com pnt:.si(in, '^\-inch,  1  straight  and 

1  curved,  Pean's number. . 

Forceps,  dressing,  Bozcman's do 

Forceps,  tenaculum,  Skene's do 

Forceps,  tissue,  right  angle do 

Forceps,  traction,  small,  Collins's do 

Needles,  S  with  handle,  Peaslec's sets. . 

FacKcr,  gauze.  Cook's number. . 


Probe,  uterine,  Sims's number. . 

Repositor,  uterine,  Elliott's do 

Scissors,  curved  on  flat,  one  point  sharp,  SJ 

inches,  Sims's number. . 

Scissors,  hawkbill,  Skene's do 

Scissors,  straight,  one  point  sharp,  8i  inches, 

Si7ns's number. . 

Sound,  uterine,  Simpson's do 

Specula,  Sims's,  medium  and  large do 

Speculum,     urethral     and     cervical,     Bru- 

nage's number.. 

Speculum,  vaginal,  trivalve,  Nott's do 

Sponge  holder ,  forceps ,  Kelly's do — 

Sponge  holder,  Sim.^'s do  — 

Tenaculum,  Dudley's do — 


919.  CASE,  INSTRUMENT,  FOR   MEDICAL  OFFICER'S   BELT. 

(In  khaki-colored  canvas  case.) 


Bistoury,  straight number. . 

Container,     metal,    for     scalpel     and     bis- 
toury  number. . 

Forceps,  artery  and  needle.  Abbey's do 

Forceps,  hemostatic,  Jones's do 

Forceps,  mouse-tooth,  Liston's do 

Needle,  aneurism  and  grooved  director  com- 
bined   number . . 


Needles,  surgical,  assorted number. . 

Scalpel do 

ScU^sors,  straight do 

Sutures,  catgut,  plain,  sterilized,  18  inches 

each,  3  sizes  in  package packages.. 

Sutures,  silk,  braided,  sterilized,  18  inches 

each,  3  sizes  iu  package pa  kages.. 


920. 


CASE,  MEDICINE,  FOR   MEDICAL   OFFICER'S  BELT. 

(A  metal  case,  with  clips  for  five  h.r.  bottles  containing  the  following  tablets:) 


Acetphenetidinum  (Phenacetin) mgms. 

Mistura  glycyrrhizae  composita  (par.  902) . . 
Pilulae  catiiaVticae  compositae 


Pulvis  ipecacuanahae  et  opii mgms. 

Quininae  sulphas do. . . 


324 
200 


Note.— .\ny  medical  officer  may  make  such  substitutions  in  the  contents  of  his  own  case  as  he  may 
desire. 


921.  CASE,  MICROSCOPICAL   SUPPLIES,  SUPPLEMENTARY. 

(Hardwood  case  with  lock  and  keg;  ivciyhi.  J,1  pounds.) 


Acid,  acetic,  glacial,  in  T.  K.  dropping 
bottle ounces . . 

Acid,  hydrochloric,  c.  p.,  in  glass-stopper 
bottle ounces. . 

Agglutometer{P.D.  &  Co.) numoer.. 

Alcohol,  absolute,  in  T.  K.  dropping  bot- 
tle  ounces. . 

Alcohol,  methyl,  Merck's  reagent,  in  glass- 
stopper  IJottlc ounces. . 

Beakers,  tall  form,  3  in  nest nests. . 

Bottles,  dropping,  1-ounce  T.  E number. . 

Clamp,  Stoddart do — 

Covers,  glass,  No.  1,  square,  2  mm. .ounces.. 

Eosin,  w.  g.,  dry,  Gruebler,  0.1-gm.  tablets, 
6  in  tube tubes. . 

File,  triangular,  small,  4  inches number. . 

Fuchsin,  Gruebler,  0.1-gm.  tablets,  6  in 
tube tubes. . 

Funnels,  glass,  1-ounce number. . 

Gentian  violet,  Gruebler,  0.1-gm.  tablets,  6 
in  tube tubes. . 

Gower's  solution,  1-ounce bottles.. 

Graduate,  conical.  30  c.  c number. . 

Hemocytometer,  Zappcrt  Ewing,  with  pi- 
pette's  number. . 

Hemoglobinometer ,  Tallquist do 

Iodine  and  potassium  iodide  mixture. tubes. . 


Methylene  blue,  Gruebler,  0.1-grm.  tablets, 
(3  in  tube tubes. . 

Normal  saline  solution  tablets,  in  S-ounce 
screw-top  bottle bottles. . 

Oil,  analine,  in  glass-stopper  bottle. .  .ounces. . 

Paper,  filtering,  10  by  10  cm.,  50  sheets  in 
package packages. . 

Paper,  litmus,  red  aud  blue vials. . 

Paraffin,  in  seamless  tinbo.x ounces.. 

Petrolatum,  in  seamless  tin  box do 

Phenol,  in  glass-stopper  bottle do 

Pipettes,  1  c.  c  ,  graduated  in  hundredths, 
in  aluminumAcase number. . 

Slides,  glass,  3  by  1  inch gross.. 

Slides,  glass,  3  by  1  inch,  with  one  concav- 
ity   number. . 

Syringe,  gla.'!s,  Luer  type,  10  c.  c,  with  S 
neeillrs,  in  metal  case number. . 

Test  tulies,  :>  in  nest nests. . 

Tubing,  glass,  large  and  small,  in  alwninum 
case pieces. . 

Tubing,  rubber,  -^  inch,  in  metal  6oi..feet.. 

Urinomcter,  small number. . 

Watch  glasses,  Syracuse,  ground  edge. do — 

Wright's  stain,  0.05-gm.  tablets,  d  in 
tube tubes. . 


Note.— This  case  is  supplementary  to  the  microscope,  field,  with  accessory  case  (par.  950). 


FORMULAE,   CONTENTS  OF   CHESTS,   CASES,   ETC. 


311 


922. 


CASE,  OPERATING,  SMALL.. 

(In  canvas  roll  or  tvooden  case.) 


Bistoury,  curved,  probe-pointed number. . 

Bistoury,  straight,  sharp-pointed do 

Catheter,  male,  plated do 

Chisel do. . . . 

Director,  grooved,  with  myrtle  leaf do 

Elevator  and  scoop do 

Forceps,   bone,  corrugated  handles,   scooped 

out number . . 

Forceps,  bullet  and  dressing,  combined,  For- 

rrood's number . . 

Forceps,  dissecting,  mouse-tooth do 

Forceps,  hemostatic do 


Knife,  amputating number 

Needle,  aneurism do . . 

Needle  holder do. . 

Needles,  surgical,  assorted dozen 

Probe,  double,  silver number 

Saw,  amputating do. . 

Scalpels do . . 

Scissors , curved  on  flat , with  Collins' slock  do. . 
Scissors,  straight,  with  Collins's  lock. .  .do. . 
Suturesi  silk,  3  sizes  in  jiacl^age... packages 
Sutures,  silkworm  gut coils 


923. 


CASE,  POCKET. 

(In  canvas  roll,  with  metal  holder  for  knives,  etc.) 


Bistoury,  curved,  sharp  pointed number. 

Bistoury,  straight do... 

Catheter,  plated,  male  and  female  tips . .  .do . . . 
Caustic   holder   and   exploring   needle   com- 
bined  number. 

Director,  grooved,  with  myrtle  leaf do. . . 

Forceps,  dissecting,  mouse-tooth do. . . 

Forceps,  hemostatic  and  needle do. . . 

Forceps,  hemostatic,  long do... 


Forceps,  hemostatic,  short number. 

Needle,  aneurism do. . . 

Needles,  surgical,  assorted do. . . 

Probe,  double,  with  silver  tips do. . . 

Scalpels do... 

Scis-iors,  straight do... 

Sutures,  silk,  braided,  sterilized,  3  sizes  in 
package packages. 


Note. — In  the  older  eases  of  this  type,  the  instruments  are  contained  in  a  leather  case,  wifh  buckskin  cover. 


924. 


CASE,  POST-MORTEM. 


(/;j  canvas  case,  with  metal  box  for  knives,  etc.    Outline  of  instruments  stamped  on  the  canvas  and  names  of 
contained  instruments  in  metal  box.) 


Blowpipe number. 

Chain  and  hooks do. . . 

Costntome  chisel do. . . 

Enterotome do. . . 

Forceps,  dissecting do. . . 

Hammer,  steel do.. . 

Knife,  amputating,  large do... 


Knife,  amputating,  small number. 

Knife,  cartilage do. . . 

Needles do. . . 

Saw do . . . 

Scalpels,  assorted do. . . 

Sci.isors,  straight do... 

Tenaculum do. . . 


Note.— In  the  older  cases  the  above  articles  are  contained  in  a  wooden  case. 


925. 


CASE,  TOOTH-EXTRACTING. 

{In  leather-covered  case,  with  lock  and  double  handle.) 


Elevators,  Nos.  6  and  7 number. . 

Forceps,  coivhorn,  No.  23 do 

Forceps,  lower  bicuspid  and  canine.  No.  21, 

number 

Forceps,  lower  incisor  and  bicuspid.  No.  21, 

number 

Forceps,  lower  molar.  No.  IS number. . 

Forceps,  universal  root,  No.  7 do. . 


Forceps,  upper  bicuspid  and  canine.  No.  11 

number '. 

Forceps,  upper  front  root ,  No.  1  ...number 
Forceps,  upper  incisor  and  canine.  No.  13. 

number 

Forceps,  upper  molar,  No.  18 number 

Forceps,  upper  wisdom.  No.  10 do. . 

Lancet,  gum do. . 


312 
926. 


MANUAL    FOE    THE    MEDICAL   DEPARTMENT. 

CASE,  TRIAL  LENSES, 
(/n  mahogany  or  oak  case.) 


Dislcs number . . 

One  plain  metal. 

Two  metal  with  stenopaic  aperture. 

Two  metal  with  stenopaic  slit. 

One  with  Maddox  rod. 

One  with  half-frosted  disk. 

Two  blue  glass,  dark  and  light. 

One  red  glass. 

Three  smoked  glasses,  different  shades. 

One  plain  glass. 

Geneva  lens  measure number. . 

Lenses,  cylindrical,  concave pairs. . 


Lenses,  cylindrical,  convex pairs. 

Lenses,  spherical,  concave do. . . 

Lenses,  spherical,  convex do. . . 

Mirror,  plain,  retinoscopic,  l^inch  .number. 
Prisms do. . . 

One  pair  each  of  1,  2,  3,  i. 

One-half  pair  each  of  5,  6,  8, 10, 12, 15,  20. 
Tape  measure,  small, spring.  I  Tnf/er.number.. 

Trial  frame,  graduated,  doublecell do 

Trial  frame,  graduaKd,  triple  oil,  outer  cell 
rotating  ,adju.^tahlef  rameand  hooks.nuinhei .. 


21 
35 
35 
1 
15 


Note. — The  spherical  and  cylindrical  lenses  are  marked  in  both  English  and  dioptric  systems  on  the 
case  and  in  the  dioptric  system  on  the  lenses. 


927. 


CHEST,  ACETYLENE. 

(^Brass-bound  chest,  with  hasp  and  button,  weight  41  pounds.) 


Packed  in  corners  of  chest: 
Canisters,  three-cornered ,  )or  calcium  carbide, 

number 

Coiled  on  top  of  generator: 

Tube,  distributing,  rubber,  J-inch feet. . 

Packed  inside  acetylene  generator: 

Bucket,  water,  uilh  bail. number.. 

Burner  tips,  acetylene,  extra,  ?^-foot...do 

Can,  metal,  with  lid,  for  holding  extra  parts, 

number 

Carbide  magazine,  automatic-feed,  screwed  in- 
side gas  bell number. . 

Clamps,  tentpole,  to  supporidistributing  pipe, 

number 

Diaphragm,  rubber,  extra number. . 

Drier  and  filter,  acetylene  gas do... 

Drop  pipe,  screw,  metal,  for  operating  cluster 

fixture number. 

Felt,  extra,  for  drier  and  filter pieces. . 


Fixture  and  burner,  ward,  L-s'haped..numheT. 

Fixture  and  cluster  of  4  burners,  operating 
light number. 

Funnel,  metal,  for  charging  carbide  feed  maja- 
zin-e number. 

Gas  bell do. . . 

Heat  deflector,  for  operating  light  fixture, 
number 

Pincers,  gas  fitter's number. 

Pipe,  distributing,  metal.  S-icay,  with  stop- 
cock and  tube  dips number. 

Pipes,  distributing,  metal,  2-way,  with  tube 
clips niunber . 

Reflector,  metal do. . . 

Reflector  support,  with  tube  clip do. . . 

Screw  driver do. . . 

Washers,  extra do... 

Water  container,  outside,  with  clips do. . . 

White  lead,  in  compressible  tube tubes. 


928.  CHEST,  COMMODE. 

(Iron-bound  wooden  chest,  with  hinged  top,  removable  bottom,  and  hasp  and  button,  weight  62  pounds.) 


Bedpan,  white  enamel number.. 

Chamber  pot,  white  enamel do 

Paper,  toilet packages. . 


Spit  cup,  white  enamel number . 

Urinal,  white  enamel do. . , 


929. 


CHEST,  COOKING   UTENSILS. 

(Iron  bound  chest,  weight  1S4  pounds.) 


Batter  whip  and  mixer number. 

Biscuit  cutter,  rotary do. .. 

Bread  board do... 

Cake  turner do. . . 

Can  openers '. do... 

Cleaver,  butcher's do... 

Clothesline feet. 

Cookbook,  A  rmy number. 

Corkscrew  and  opener do. . . 

Dipper do... 

Dishes,  vegetable  and  pudding do. . . 

Fgg  whisk do. . . 

Emergency Dietforthe Sick,  Munson.  ..do... 

Forks,  fl(sh do. . . 

Knife  and  saw,  combination do. . . 

Knife,  butcher's do. . . 

Ladle,  soup .do. . . 

Lantern do... 


Masher,  potato number. 

Match  box do. . . 

Nail  box,  filled do. . . 

Nutmeg  gratir do... 

Platters,  meat do... 

Pot  chain  and  scraper do. . . 

Sickle do. . . 

Soap  box do. . . 

Spice  box,  with  6  cans do. . . 

Spoons,  serving do. . . 

Sqw(zcr,  Itmon do... 

Steel,  butcher's do... 

Tea  steeper do. . . 

Tea  strainer do... 

Towels,  di.sh do. . . 

Trays,  serving do. . . 

Wire,  unne^iled coils. 

Wire  cutter  and  pliers number. 


FORMULAE,   CONTENTS   OF    CHESTS,   CASES.   ETC. 


313 


930. 


CHEST,  FIELD   LABORATORY,  NO,  1. 

(  "U'eight  90  pounds.) 


Baskets,  wire,  for  test  tubes number. 

Bath,  water,  copper do. . . 

Bucket,  copper,  for  media do. . . 

Burners,  Burh'<e7i do. . . 

Burners,  Bunsen,  chimney  support  for.. do. . . 
Case,  for  pipettes,  etc do. . . 

ripetles,  1  c.  c do.. . 

Pipelle.s,  10  c.  c do. . . 

Rods,  glass,  large  and  small do. . . 

Thermometer,  laboratory do. . . 

Cotton,  absorbent,  in  rolls. . ." pounds. 


Dishes,  Petri number. 

Paper, filtering,  Mimktell,  No.  1,20  sheets  in 

package packages. 

Plate  holders,  copper .number. 

Retorts,  stand  f or,  2-ring do. . . 

Sterilizer,  Arnold do... 

Test  tubes,  9  mm.  by  6  cm do... 

Test  tubes,  15  mm.  by  15  cm do... 

Towels,  hand do. . . 

Tubing,  rubber feet. 


1 
2 
1 
1 
75 
225 
12 
12 


931. 


CHEST,  FIELD  LABORATORY,  NO.  2. 

(  Weight  S7  pounds.) 


Agar-agar,  powdered,  in  3-oimce  tin tins. . 

Beef  extract,  in  commercial  tins ounces. . 

Book,  record number. . 

Bottles ,  automatic  stopper do 

Bottles,  glass  stopper,  4-ounce,  for  the  fol- 
lowing: 

Acid,  nitric,  10  per  cent number. . 

Acid,  sulphanilic,  1  per  cent do 

Acid,  sulphuric,  concentrated do 

Diphenylamine,  0.2  per  cent do 

Naphtylamine,  1  per  cent do 

Silver  nitrate,  saturated  solution  .  .do 

Sodiiun  chloride  solution do 

Box,  for  matches do 

Box,  soap do 

Brushes,  test  tube do 

Cards,  record do 

Cases,  tin,  for  reagent  bottles do 

Colony  counter do 

Dextrose,  in  3-ounce  tin tins... 

Funnels,  agate  ware,  assorted number. . 

Fimnel,  glass,  500  C.C.,  fluted do 

Fimnel,  glass,  6.5  cm do 

Gasometer do 

Graduate,  glass,  250  c.  c do 


1 
1 
1 

1 
1 
1 
2 
1 
1 
2 
200 
S 
1 
4 
2 
1 
1 
1 
1 


Jars,  Nessler,  50  c.  c number. 

Lactose,  in  12-ounce  tin tins. 

Matches,  safety boxes. 

Normal  saline  solution  tablets,  in  3-ounce 

tin tins. 

Paper,  filtering,  Munktell,4-rnch..  packages. 

Paper,  litmus,  blue  and  red vials. 

Pencils,  lead number. 

Pencils,  wax do. . . 

Peptone^  dry,  in  3-ounce  tin tins. 

Racks,  zinc,  for  test  tubes ^  6  in  set sets. 

Scales  and  weights,  metric number. 

Scissors do . . . 

Soap,  Ivory cakes. 

Soda,  washing,  in  12-ounce  tin tins. 

Sodiimi  taurochlorate,  in  12-oimce  tin.  .do. . . 

Stoves,  alcohol number. 

Stoves,  alcohol,  e.xtra  wicks  for do. . . 

Tags,  cardboard do. . . 

Tanks  for  alcohol  and  mineral  oil do... 

Tins,  as  containers do. . . 

Tripod,  iron.  Bun-sen do. . . 

Tubes,  rubber,  6-inch do. . . 

Tubes,  rubber,  stop  cocks  for do. . . 

Water  Analysis,  Darnall do. . . 


932. 


CHEST,  MEDICAL  AND    STIR  QIC  AL, 

(Weight  100  pounds.) 
MEDICINES    AND    ANTISEPTICS. 


Acetphenetidinum  (Phenacetin),  324-mgm. 
tablets,  500  in  12-ounce  tin tins. . 

Adrenalin  chlorid,  1-mgm.  tablets,  20  in 
tube tubes.. 

Alcohol,  12  ounces  in  liottle bottles.. 

Apomorphinae  hydrochloridum,  6-mgm.  hy- 
podermic tablets,  20  in  tulie tubes. . 

Atropinae  sulphas,  0.65-mgm.  hyDodermic 
tablets,  20  in  tube '....tubes.. 

Bismuthi  sulmitras,  324-mgm.  tablets.  700 
in  12-ounce  tin tins.. 

Chloroformum,  J  pound  m  tin do 

Cocainae  hydrocliloridum,  10-ragm.  hypo- 
dermic tablets,  20  in  tube tubes. . 

Digitalinum,  1-mgm.  hypodermic  tablets, 
2b  in  tube tubes. . 

Emetinae  hydrochloridum,  22-mgm.  hypo- 
dermic talilets,  20  in  tube tubes.. 

Foot  powdsr  (par.  902) tins. . 

Hydrargyri  chloridura  corrosivum,  tablets 
(antiseptic)  (par.  902),  350  in  12-ounce 
tin tins.. 

Hvdrargvri  chloridum  mite,  32-mgm.  tab- 
lets, l.im  in  bottle bottles. . 

Hyoscinae  hydrobromidum,  0.65-mgm.  hy- 
podermic talilets,  20  in  tube tubes. . 

lodum-potassii  iodidum do 

Linimentum  rubefaciens,  tablets  (par.  902), 
200 in  12-ounce  tin tins.. 

Magnesii  sulphas,  3  pounds  in  tin do 


Mistura  glycyrrhizae  composita,  3,600  in  12- 
ounce-tiii tins. . 

Morphinae  sulphas,  8-mgm.  hypodermic 
talilets,  20 in  tube " tubes.. 

Nitroglycerin,  0.65-mgm.  hypodermic  tab- 
lets, 20  in  tube tubes. . 

Petrolatum,  in  12-ounce  tin tins.. 

Phenol,  crystals,  h  pound  in  bottle,  .bol  ties. . 

Pilulae  camphorae  et  opii  (par.  902),  875  in 
12-ounce  tm tins. . 

Pilulae  catharticae  compositae,  1,200  in  12- 
ounce  tin tins. . 

Potassii  bromidum,  324-mgm.  tablets,  500 
in  l>ottle : bottles. . 

Protargol  (or  equivalent),  1  ounce  in  bot- 
tle  bottles. . 

Quininae  hydrochlorosulphas,  32-mgm.  hy- 
jiodermic  tablets,  20  in  tube tubes. . 

Quininae  sulphas,  200-mgm.  tablets,  1,000 
in  12-ounce  tin tins.. 

Sodii  salicylas,  324-mgm.  tablets,  600  in  12- 
ounce  tin tins.. 

Strychninae  sulphas,  1-mgm.  hypodermic 
talilets,  20  in  tube tubes.. 

Thymolis  iodidum  (Aristol),  in  sprinkler, 
number 

Unguentum  hydrargyri  chloridi  mitis,  30 
per  cent,  i  pound  in  wide-mouth  bottle, 
bottles ...  I 


The  tubes  of  hypodermic  tablets  are  all  in  one  12-omice  tin. 


314 


MANUAL   FOR   THE   MEDICAL  DEPAETMENT. 


Chest,  medical  and  surgical — Continued. 

MISCELLANEOUS. 


Aprons,  rubber number. . 

Bag,  rubber,  hot-waicr,and  syringe do 

Bandages,  gauze,  compressed,  3  sizes. .  .do 

Bandages,  plaster  of  Paris,  in  individual 

packets nuinher.. 

Bandage,  rubber^  Martin do 

Bands,  elastic,  m  pouch do 

Basins,  hn nd,  rubber do 

Book,  Mank,  8\o do 

Book,  note,  manifolding,  4  by  6  inches,  binder, 

numl)er 

Book,   note,   manifolding,   4   by  6  inches, 

filler number. . 

Boxes,  folding,  for  tablets gross. . 

Boxes,  ointment,  3  in  nest nests.. 

Box,  soup  metal number. . 

Brushes,  hand,  fiber do 

Case,  forceps,  hemostatic  (pai'.  915) do 

Case,  operating,  small  (par.  922) do 

Case,  tooth-extracting,  3  forceps  in  canvas  roll, 

number 

Catheters,  flexible,  17,  20,  24,  French  scale,^  in 

tin number. . 

Corks,  for  1-ounce  vials,  50  in  bag liags. . 

Corkscrew number. . 

Cotton,  aljsorbent,  sterilized,  1-ounce  pack- 
age  packages. . 

Cup,  enamel  ware number. . 

Gauze,  sublimated,  2  half-yard  lengths  in 

package packages. . 

Glopes,  rubber,  in  pouch,  sizes  8  and  .9.  .pairs. . 
Inhaler,  chloroform,  Esmarch,  ivith  drop  bot- 
tle  number. . 

Labels,  for  vials dozen . . 

Labels,  poison do — 


Matches,  safety boxes. . 

Medicine  glass,  in  uoodcn,  case number. . 

Miirtar  and  pcsth,  porcelain,  7  cm do 

I'encils,  hair,  1  dozen  in  vial vials.. 

Pencils,  indelible number. . 

I'ins,  common papers. . 

Pins,  safetv dozen. . 

I'laster,  adhesive,  z.  c,  5  yards  by  1  inch, 
spools '. 

Pouch,  for  gloves number. . 

Razor do 

Razor,  strop  for do 

Scissors do 

Soap,  hand cakes . . 

Spatula,  3-inch number . . 

Spoon,  tea do 

Sutures,  catgut,  chromicized,  sterilized,  is 
inches  each,  3  sizes  in  package. .  .packages. 

Sutures,  catgut,  plain,  sterilized,  IS  inches 
each.  3  sizes  in  package packages. . 

Sutures,  silk,  braided,  sterilized,  IS  inches 
each,  3  sizes  in  package packages. . 

Sutures,  silkworm  gut,  100  in  coil coils. . 

Syringe,  hypodermic  (par.  9.")6) number. . 

Syringe,    hypodermic,    extra   needles    for, 
numl  )er . ." 

Tags,  diagnosis books.. 

Thermometers,  clinical number. . 

Tins,  enameled,  as  containers do 

Tongue  depressor do 

Tourniquet  and  bandage,  rubber do 

Towels,  hand do 

Tubes,  drainage,  2  sizes,  in  tin  with  cathe- 
ters   pieces . . 

Vials,  1-ounce number. . 


933.  CHEST,  MEDICAL  AND    SURGICAL,  SUPPLEMENTARY. 

{Weight 95  pounds.) 
MEDICINES   AND   ANTISEPTICS. 


Acidum  boricum,  324-mgm.  tablets,  700  in 

12-ounce  tin tins. . 

Acidum  salicylicum,  324-mgm.  tablets,  400 

in  12-ounce  tin tins.. 

Amylis   nitris,  5-drop   spirets,  12  in   box, 

boxes 

Argenti  nitras,  crystals,  1  ounce  in  bottle, 

bottles 

Argenti    nitras    fusas,  1  ounce   in   bottle, 

bottles 

Argyrol,  1  ounce bottles.. 

Arsenii  trioxidum,  1-mgm.  tablets,  500  in 

3-ounce  tin tins. . 

Aspirin,  324-mgm.  tablets,  500  in  bot- 
tle   bottles. . 

CafTeina  citrata,  65-mgm.  tablets,  250  in 

bottle bottles. . 

Capsicum,  32-mgm.  tablets,  600  in  3-ounce 

tin tins. . 

Chloralum   hvdratum,   324-mgm.    tablets, 

400  in  bottle bottles. . 

Chloroformum,  i  pound  in  tin tins.. 

Codeiua,  32-mgm.  tablets,  600  in  3-ounce 

tin tins. . 

Collodium,  1  ounce bottles. . 

Emplastrum   belladonnae,   2   yards   by   6 

inches,  in  tin tms. . 

Emplastrum  cantharidis,  1  yard  by  6  inches, 

in  tin tins.. 

01ycerinum,i))intin  bottle bottles.. 

Hcroini  hydrochloridum,  5..5-mgm.  tablets, 

500 in  3-ounce  tin tins.. 

Hexamethylonamina  (Urotropin),  324-mgm. 

tablets,  (lOOin  12-ounce  tin tins.. 

Hvdrargyri  iodidum  flavnm,  10-mgm.  tab- 
lets, 750  in  3-ounce  tin tins.. 

Ichthyolum,  3  ounces bottles.. 

Morphinae  sulphas,  8-mgm.  tablets,  600  in 

3-ounce  tin tins. . 

Normal  saline  solution  tablets  (par.  902),  150 

in  12-ounce  tin tins. . 

Oleum  ricini,  3  pints  in  tin do 

Oleum  terebinthinao  rectificatum,  3  pints 

in  tin tins.. 


Oleum  theobromatis,  h  pound  in  12-ounce 

tin "- tins.. 

Phenylis  salicylas  (Salol),  324-mgm.  tablets, 

500  in  bottle bottles. , 

Pilulae  aloini  compositae  (par.  902),  750  in 

3-ounce  tin this. 

Pilulae  ferri  compositae  (par.  902),  1,200  in 

12-ounce  tin tins. 

Plumbi  acetas,  130-mgm.  tablets,  600"in  3- 

ounce  tin tins. 

Potassii  chloras,  324-mgm.  tablets,  1,200  in 

12-ounce  tin tins. 

Potassii  iodidum,  324-mgm.  tablets,  500  in 

bottle bottles. 

Potassii   permanganas,   324-mgm.   tablets, 

1 ,200  in  12-ounce  tin tins. 

Pulvis  ipecacuanhae  et  opii,  324-ragm.  tab- 
lets, 701)  in  12-ounce  tin tins. 

Sodii  bicarbonas,  321-mgm.  tablets,  1,000  in 

12-ounce  tin tins. 

Sodii  bicarbonas  et  mentha  piperita,  tablets 

(par.  902),  1,000  in  12-ounce  tin tins. 

Sodii  carbonas  monohydratus,  for  surgical 

use, -i  pound  in  rj-ouhce  tin tins. 

Spiritus  ammoniae  aromaticus,  .J  pound  in 

glass-stopper  Itottle bottles. 

Spiritus  frumenti,  A  pint  in  bottle do... 

Sulphur    lotum,    'j    pound    in    12-ounce 

tin tins. 

Tinctura  digitalis,  0.3  c.  c.  tablets,  800  in  3- 

ounce  tin tins. 

Tinctura  opii,  i  pound  in  bottle bottles. 

Trochisci  ammonii  chloridi,  3.')0  in  12-ounce 

tin tins. 

Unguentum  hydrargyri,  i  pound  in  wide- 
mouth  bottle '. bottles. 

Veronal,  324-mgm.  tablets,  100  in  3-ounce 

tin tins. 

Zinci  oxidum,  powder,  k  pound  in  12-ounce 

tin tins. 

Zinci  sulphas,  324-mgm.  tablets,  250  in  3- 

ounce  tin tins. 


FOEMULAE,   CONTENTS   OP   CHESTS,   CASES,   ETC. 
Chest,  medical  and  surgical — Continued. 


315 


MILCELLANEOUS. 


Atomizer,  hand number. . 

Bags,  rubber,  hot-water,  and  syringe do 

Bahciages,  suspensory dozen.. 

Bougies,  Jieiiblc,  Nos.  11,  13,  15,  17,  20.  -22, 

French  scale,  in  tin  u'ithcathetcrs.  .number. . 
Catheters,  flexible,  Nos.  15,  17,  18,  W,  22,  24, 

French  scale,  in  tin  with  6om(7!>«.. .number. . 

Corks,  for  vials,  ;')0 in  bag bags.. 

Corkscrew number. . 

Cups,  enamel  ware do 

Eye  shades,  single do 

Graduate,  glass,  100  c.  c, mease do 

Head  mirror,  in  case do 

Medicine  droppers do 

Needles,  common,  assorted papers. . 

Paper,  litmus,  blue  and  red,  lOOstripsin  vial, 

of  each vials. . 


Pill'tile,  h.T number. . 

Specula,  ear,  set  of  3 sets.. 

Speculum,  rectal number. . 

Splints,  wire  gauze  for,  1  yard  in  roll . . .  rolls. . 

Stethoscope,  double number. . 

Syringes,  penis,  glass do 

Syrinoe,  rectal,  hard  rubber,  6-ounce do 

Tags,  diagno.sis books. . 

Tape  mcdsure.  60-inch number. . 

Test  tubes.  Tm  nest nests. . 

Thread,  cotton spools. . 

Tins, enameled,  as  containers number. . 

Tubes,  drainage,  unperforalod,  in  tin  with 

catheters pieces. . 

Tvhe .  stnuiach number. , 

Vials,  1-ounce dozen. . 


934. 


CHEST,  MESS. 
To  serve  25  persons. 

(^Iron-bound  wooden  chest,  weight  225  pounds.) 


Batter  whip  and  mixer number. 

Biscuit  cutter,  rotary do 

Bowls,  ermmel  ware  or  aluminum do 

Bread  board do 

Cake  turner do 

Can  opener do 

Chopper,  meat  and  vegetable do 

Clearer,  butcher's do 

Clothesline..., feet.. 

Cookbook,  A  rmy number. . 

Corkscrew  and  opener do 

Dipper do 

Dishes,  vegetable,  enamel  ware do 

Egg  ichisk do 

Emergency  Diet  for  the  Sick,  Munson.  .do 

Forks,  flesh do 

Forks,  steel,  triple-plated do 

Knife  and  saic,  combination do 

Knife,  butcher's do 

Knives,  steel,  triple-plated do 

Ladle,  soup do 

Lantern do 

Masher,  potato do 


29 


Afatch  sifc number. 

Nail  box,  filled do. . . 

Nutmeg  grater,  patent do... 

Pitcher,  large,  enamel  ware do... 

Pitcher,  small,  enamel  ware do... 

Plates,  enamel  ware  or  aluminum do. . . 

Platters,  meat do... 

Pot  chain  and  scraper do. . . 

Saucers,  deep,  enamel  ware  or  aluminum 

number 

Shakers,  glass,  salt  and  pepper,  of  each.  .do. . . 

Soap  box do. . . 

Spice  box,  zvith  6  cans do... 

Spoons,  serving do... 

Spoons,  steel,  triple-plated do... 

Squeezer,  lemon do.. 

Steel,  butcher's do. . 

Tea  steeper do.. 

Tea  strainer do. . 

Towels,  dish do. . 

Trays,  serving do. . 

Wire,  aimealed coils 

Wire  cutter  and  pliers number 


935. 


CHEST,  STERILIZER. 

(  Weight  83  pounds.) 


A prons,  rubber •. .  .number. 

Bands,  rubber do. . . 

Basins,  rubber do... 

Box,  soap,  metal do... 

Brushes,  hand,  fiber do. . . 

Corks,  extra,  for  8-oiuice  bottles do. . . 

Funnel,  agateware do. . . 

Gloves,  rubber,  sizes  8  and  9 pairs. 

Matches,  safety boxes. . 

Phenol,  J  pound,  in  bottle bottles. 

Pouches,  for  gloves number. 


Sapo  mollis  (green  soap),  J-pound  jar  in 
case jars.. 

Soap,  hand cakes.. 

Sponges,  gauze,  1  dozen  in  box boxes. . 

Sterilizer number. . 

Stove,  alcohol do 

Tank  for  alcohol do 

Tool,  universal do 

Towels,  hand do 

Trays,  instrument,  nested do 


316 


MANUAL  FOR   THE   MEDICAL   DEPARTMENT. 


936. 


CHEST,  TABLEWARE. 

(Irorv-bound  chest,  weight  176  pounds.) 


Bowls,  enamel  ware  or  aluminum,  .number. 

Forks,  steel,  triple-plated do. . . 

Knives,  stcd.  triph-platcd do... 

Pitcher,  large,  eiiamel  ware do... 

Pitcher,  small,  enamel  ware do... 


Plates,  enamel  ware  or  aluminum,  .number. .  106 

Saucers,  enamel  ware  or  aluminum. .  ..do I  106 

Shakers,  glass,  salt  and  pepper,  oj  each.. do I  6 

Spoons,  steel,  triple-platea. do \  100 


937. 


CHEST,  TOOL,  NO.  1. 

ifn  wooden  chest  with  handles  and  lock,  weight  ISO  pounds.) 


Awl,  scratch number. . 

A  wis,  brad,  assorted do 

Bit,  expansive,  \  to  U  inch do 

Bit,  screw  driver ". do 

Bits,  drill,  a.f.sorted do 

Brace,  ratchet do 

lirads  and  tacks,  assortea,  in  tin  box.  .boxes. . 
Chalk  line,  with    reel   and    awl,    complete, 

number 

Chisel,  cold,  ^-inch number. . 

Chisel,  socket  firmer,  ^inch,  with  handle. do 

Chisel, socket  firmer, l-inch, with  handle.do 

Chisel, socket  firmer,  1-inch,  withhandle.do 

Chisel,  socket  firmer,  \h-inch,  with   handle 

number ." 

Countersink number. . 

Dividers,  8-inch do 

Drawing  knife,  carpenter's,  oval  blade,  10- 
inch number. . 

File,    flat    bastard,    10-inch,    with  handle, 

numoer 

File,  round  bastard  (rat-tail),  10-inch,  with 

handle number. . 

File,  saw,  taper,  'S^-inch,  with  handle. .  .do 

File,  saw,  taper,  i-inch,  with  handle do 

File,  saw,  taper,  -i^^-inm,  with  handle. .  .do 

Gauge,  marking do 

Gimlets,  wooden  handles,  assorted do 

Hammer,  nail,  adz-eye do 

Hatchet,  shingling do 

Level,  spirit,  pocket,  iron  top  plate,  japanned, 
number 


Mallet,  carpenter's,  round number. 

Nail  puller,  large do. . . 

Nail  set,  square,  4-inch do. . . 

Oiler,  zinc do . . . 

Oilstone do... 

Pincers, carpenter's, steel  jaw, S-inch..  .qo.  .. 

Plane,  fore,  iron  frame,  18-inch do... 

Plane,  hollow,  woodenframe do. . . 

Plane, jack,  iron  frame,  14-inch do... 

Plane,  rabbet,  iron  frame,  S-inch do. .. 

Plane,  rounding,  woodenframe do. . . 

Plane,  smoothing,  iron  frame,  9-inch do. . . 

Pliers,  combination,  6-inch do. . 

Rasp,  wood,  half-round,  10-inch,  with  handle, 

number ' 

Rule,  boxwood,  brass-bouivi,  i'-/oo(.. number 

Saw,  hand,  20-inch do. . 

Saw,  keyhole,  10-inch do.. 

Saw ,  panel,  16-inch do.. 

Saw,  rip,  22-inch do. . 

Saiv  set do. . 

Screw,  bench, iron,  1-inch  diameter do.. 

Screw  driver,  ratchet,  6-inch do.. 

Screw  driver,  regular, 4-i'nch .do.. 

Screw,  hand,  10-inch do.. 

Spckesha ve,  3-i nch do . . 

Tape  measure,  50-foot do.. 

T-bevel,  S-inch da. . 

Try  square,  rosewood ^  9-inch do.. 

Wrench,  monkey,  10-inch do.. 


938. 


CHEST,  TOOL,  NO.  2. 

(In  wooden  chest  ivith  hnndlri  and  lock,  weight  H.'i  pounds.) 


Bits,  auger,  -^inch,  h-inch,  l-inch,  1-inch, 

of  each number. 

Bit,  screw-driver do . . . 

Box  opener do... 

Brace,  ratchet .• do. .. 

Chisel,  cold,  6-inch do. . . 

Chisel,  socket  firmer,  i-inch do. . . 

Chisel,  socket  firmer,  H-inch do... 

File,  6-inch,  mill  bastard do. . . 

File,  saw ,  S-inch do . . . 

Hammer,  nail do... 

Hatchet, claw do... 

Nciils,  assorted boxes. 

Oilstone,  Wa-ihita number . 

Plane,  smoothing do.. . 

Pliers,  combination do. . . 


Rule,  boxicood,  2-foot number. 

Saw,  panel,  20-inch do... 

Saw,  rip,  22-inch do. . . 

Screws,  assorted boxes . 

Spokeshave,  S-inch number. 

Stencils,  brass,  letters  and  figures sets. 

Stencil  brush number. 

Stencil  pot,  black do. . . 

Tacks  and  brads,  assorted boxes. 

Tags,  shipping number. 

Tape  m  easure,  50-foot do . . . 

Tins  as  containers  for   nails,   screws,  and 

stencils number. 

Tool,  universal do. . . 

Try  square,  rosewood,  9-inch do. . . 


939. 


CRATE,  FIELD   LABORATORY. 

( Weight  82  pounds. ) 


Funnel, agateware number.. 

Incubator ,  complete do 


Screw  driver . 


number.. 


FORMULAE,   CONTENTS   OF    CHESTS,   CASES,   ETC. 


317 


940. 


DBSE,  FIELD,  NO.  1. 

(  Weight  100  pounds.) 

(a)    STATIONERY. 


Bands, elastic,  assorted  sizes gross. . 

Book,  blank,  8vo,  150  pages number. . 

Books,  note,  manijolding ,  4  by  6  inches,  bind- 
ers   number. . 

Books,  note,  manifolding,  4  by  6  inches,  fill- 
ers   number. . 

Envelopes,  official,  large do 

Envelopes,  official,  letter do  — 

Eraser,  rubber do — 

Eraser,  steel do 

Ink,  black,  powder  or  tablets boxes. . 

Ink,  red,  powder  or  tablets do 

Ink  wells number. . 

Pads,  prescription do 

Paper,  blotting pieces. . 


Paper,  carbon,  letter,  100  sheets  in  a  box, 
boxes 

Paper  fasteners boxes. 

Paper,  writing,  letter,  100  sheets  in  pad, 
pads.* 

Paper,  writing,  note,  100  sheets  in  pad, 
pads 

Paste,  photo tubes. 

Pencils,  indelible number. 

Pencils,  lead do... 

Penholders do. . . 

Pens,  steel do. . . 

Ruler do. . . 

Stamp,  penalty,  rubber,  with  pad do. . . 

Tags,  shipping do. . . 


6 
1 

3 

24 

4 

24 

1 

1 

100 


(6)    POUCH    FOR    BLANKS. 


Pouch,  canvas-lined,  waterproof^. .  .number. . 


Tubes,  japanned  tin,  with  close-fitting  covers, 
nest  of  4^ nests..:         1 


(c)    MANUALS,  ARMY    REGULATIONS,  ETC. 


A rmy  Regulations number. . 

Drill  Regulations  and  Service    Manual  for 

Sanitary  Troops number. . 

Equipment  Tables,  Q.  M.  Supplies do. . . . 

Field  Service  Regulations do 


Manual  for  Courts-  Martial number. 

Manual /or  Medical  Department do... 

Manualjor  Quartrrmaster  Corps do... 

Rules  of  Land  Warfare do. . . 

Tables  of  Organization do. . . 


All  published  changes  in  the  above-named  publications  should  be  placed  in  the  desk  at  the  time  of  issue 
from  the  depot. 

(d)    BLANK    FORMS,  MEDICAL    DEPARTMENT    (par.  961). 


Nos.  17,  17c,  19,  24,  37,  4S,  49a,  59,  74,  and  78, 

of  each number. .  6 

Nos  470,  49,50,  and  56,  of  each do 12 


Nos.  28, 35,  and  53,  of  each number. 

Nos.  77,  82,  and  S3,  of  each do. . . 

Nos.  17oand  176,  of  each do... 


24 

48 

300 


(e)    BLANK   FORMS,  ADJUTANT   GENERAL's   DEPARTMENT   (par.  962). 


No.  370  W.  D number. . 

Nos.  489, 526,  and  527,  of  each do 

Nos.  3, 15, 17,  21,  22,  25,  26, 30, 59,  66,  99, 135, 
141, 143, 149, 196,  .332,  339, 3S0, 383.  415,  and 
525,  of  each number. . 


No.  34 number. 

No.  29 do... 

Correspondence  Book do. . . 


(/)    BLANK    FORMS,   QUARTERMASTER    CORPS    (par.  963). 


Nos.  366  W.  T).  and  366a  -W.  D.,  of  each, 
number 

Nos.  38,  218,  223,  and  406  (small),  of  each, 
books 

Nos.  69  and  70,  of  each number. . 


Nos.  39, 160. 160o,  165&,  180,  204,  208, 213,  and 

213a ,  of  each number. . 

Nos.  8a  and  41,  of  each do 

No.  201 do.... 

No.  165 do. . . . 


24 
100 


»  To  be  used  for  carrying  blanks,  stationery,  etc.,  when  conditions  are  such  that  the  field  desk  can  not 
betaken. 
2  Containers  for  stationery,  etc. ,  m  pouch.    Sizes  of  tms  as  follows: 

One  2J.  inches  diameter  and  11  inches  long. 

One  2  inches  diameter  and  lO.V  inches  long. 

One  1}  inches  diameter  and  10  inches  long. 

One  1  inch  diameter  and  9  inches  long. 


318  MANUAL  FOR  THE   MEDICAL  DEPARTMENT. 

Desk,  Field,  No.  1 — Continued. 

{g)   BLANK  FORMS,  ORDNANCE  DEPARTMENT  (par.  964). 


Nos.  151  (pad  of  30  sheets)  and  1715  (pam- 
phlet), of  each number. . 

Nos.  18a  and  19,  of  each do 


Nos.  86,  94,  and  386,  ol  each number. 

Nos.  18  and  152,  of  each do... 


Ql)    INSPECTOR    general's    DEPARTMENT    (par.   965). 


No.  1 number. . 


No.  la number..        10 


941. 


DESK,  PIEIiD,  NO.  2. 

(  Weight  35  pounds.) 

(a)    STATIONERY. 


Bands,  elastic,  assorted  sizes gross . . 

Book,  correspondence  (issued  by  A.  G. 
Dept.) number. . 

Books,  note,  manifolding,  4  by  6  indies,  hind- 
ers  number.. 

Books,  note,  manifolding,  4  by  fi  inches, 
fillers number . . 

Envelopes,  official,  letter do 

Eraser,  rubber do 

Ink,  black,  powder  or  tablets boxes. . 

Irik  well number. . 

Pads,  prescription do — 

Paper,  blotting pieces. . 


Paper,  carbon,  letter,  100  sheets  in  a  bo-x, 
boxes 

Paper,  writing,  letter,  100  sheets  in  pad, 
pads 

Paper,  writing,  note,  100  sheets  in  pad, 
pads 

Paste,  photo tubes . 

Pencils,  indelible mimber. 

Pencils,  lead do... 

Penholders do . . . 

Pens,  steel : do. . . 

Rider do. . . 


(5)    MANUALS,  ARMY   REGULATIONS,   ETC. 


Army  Regulations number. . 

Drill  Regvlations  and  Service   Manual  for 

Sanitary  Troops number . . 

Equipment  Tables,  Q.  M.  Supplies do 


Field  Ser'Hce  Regulations number. . 

Manual  Medical  Department do 

Rules  of  Land  Warfare do 


All  published  changes  in  the  above-named  publications  should  be  placed  in  the  desk  at  the  time  of 
issue  from  the  depot. 

(c)    BLANK    FORMS,   MEDICAL   DEPARTMENT    (par.  961). 


Nos.  17,  17c,  24,  37,  47a,  49,  and  50,  of  each, 

number 

Nos.  35,  56,  and  78,  of  each number. 


Nos.  28  and  53,  of  each number.. 

Nos.  17u,  176,  77,  82,  and  8;?,  of  each . .  .do 


942. 


DISPENSING   SET. 


Salt  mouth  bottles. 

500  gm number. . 

250  gm do 

125  gm. .' do 

60  gm do 

SaJi  mouth  bottles,  amber  colored. 

60 gm ....-• nuralter. . 

Steeple-top  jars. 

260  gm. number.. 


Tincture  bottles. 

1  liter number. 

500  c.  c do... 

2.')0c.c r do... 

125  c.c do... 

fiOc.c do... 

Tincture  bottles,  amber  colored. 
12.")  c.  c ininilier. 

Total  bottles do. . . 

Total  jai's do. . . 


16.-? 
10 


FORMULAE,   CONTENTS   OF   CHESTS,   CASES,  ETC. 


319 


943. 


EQUIPMENT,  HORSE,  HOSPITAL   CORPS. 

{,Ncw  model.) 


Bridle,  Cavalry number. 

Carrier  strap do. . . 

Cooling  strap do. . . 

Currycomb do. . . 

Feed  bag do. . . 

Grain  bag do. . . 

Horse  brush do. . . 

Lariat do... 


PicJcet  pin number. 

Picket^in  carrier,  special do. . . 

Pommel  pockets pr.irs. 

Rnlion  bag  retaining  strap,  special .  .number. 

Saddle do. . . 

Saddle  blanket do. . . 

Spurs pairs. 

Spur  straps sets. 


Note.— With  each  eouipment  there  is  issued  one  halter  and  strap  (or  rope)  for  stable  use,  and  one 
horse  cover  (or  horsp  cover,  blanket  lined),  when  necessary.  Spurs  and  spur  straps  are  carried  as  personal 
equipment  l\v  the  Ordnance  Dejiartment.  They  are  included  here  and  omitted  from  paragraph  86.5  as  a 
matter  of  convenience  in  accounting. 


944. 


FIRST-AID  PACKET. 

(Tn  metal  case  4  by  21  by  1  inch.) 


Bandages,  gauze,  sublimated,  4  by  84  inches, 
number 

Compresses,  gauze,  sublimated,  3i  by  3J 
inches  (one  sewed  to  each  bandage), 
nurabei 


Pins,  safety,  No.  3 number. 

Directions  for  ax^plication,  printed do. . . 


Note.— Directions  for  applying  first-aid  packets  are  also  given  in  the  Drill  Regulations  and  Service 
Manual  for  Sanitary  Troops.    For  specifications  for  fu-st-aid  packets  refer  to  Appendix:  First-aid  packets. 


945. 


FIRST-AID   PACKET,  FOR  INSTRUCTION. 

(In  a  cardboard  box;  contents  unsterUized.) 


This  packet  consists  of  a  cardboard  box,  with  the  same  contents 
as  given  for  the  metal  case  (par.  944),  but  of  stronger,  more  dm-able, 
and  unsterilized  material. 


946. 


FIRST-AID  PACKET,  SHBI.I.-WOUN'D. 

(In  tough  paper,  -n-ith  directions  printed  thereon.) 


Bandage,  gauze,  sublimated,  3  by  48  inches, 
attached  to  a  compress  of  sublimated 
gauze  6  by  9  inches number. . 


Bandage,  gauze,  sublimated,  5  yards  by  3 

inches number. . 

Pins,  safety,  No.  3 do 


947. 


FOOD,  AMBULANCE  BOX   OP. 

(  Wooden  chest  with  padlock  and  two  keys,  weight  36  pounds.) 


Beef,  soluble,  liquid  or  extract,  in  3-ounce 
container number. . 

Can  opener do 

Cocoa,  8-ounce  tin tins. . 

Matches,  safety,  In  tin  box boxes. . 

MUk,  condensed,  unsweetened,  1-pound 
tin tins. . 


Pepper,  black,  1  ounce,  in  dredge  with  screw 

cap number. 

Salt,  3  ounces,  in  dredge  with  scretr  cap. do 

Sugar,  granulated,  4  poimds,  in  tin tins. 

Tea,  green  or  black pounds. 


Note.— This  box,  with  the  special  containers  belonging  to  it,  is  ordinarily  issued  empty,  with  tlie 
expectation  that  food  for  the  sick  will  be  purchased  from  the  hospital  fund. 


320 
948. 


MANUAL   FOR   THE    MEDICAL   DEPARTMENT. 

FOOD,  BOX   OF. 

(  Wooden  box  with  padlock  and  two  keys,  'xOeight  90  -pounds.) 


Beef,  soluble,   liquid   or   extract,  3-oiince 

container number. . 

Can  opener do 

Cocoa,  8-ounce  tin tins. . 

Collee, ground,  2  pounds,  in  tin tins.. 

Hard  bread,  J  pound,  in  carton cartons. . 

Milk,    condensed,    unsweetened,    1-pound 
tin number. . 


Pepper,    black,    1    ounce,    in   glass  shaker. 

number '. 

Salt,  table, 4  ounces, in  glass  «/iafcer, number. 

Soup,  assorted,  1-pound  tin tins. 

Sugar,  granulated,  4  poimds,  in  tin. .  .do. . . 
Tea,  green  or  black pounds. 


Note. — This  box,  with  the  special  containers  belonging  to  it,  is  ordinarily  issued  empty,  with  the 
expectation  that  the  food  for  the  sick  will  be  purchased  from  the  hospital  fund. 


949. 


INDIVIDUAIi  DRESSING   PACKET. 


The  contents  of  this  packet  are  identical  with  those  of  the  first-aid 
packet  (par.  944) ,  but  they  are  inclosed  in  a  nonmetal  covering. 

Note.— The  directions  for  applying  the  first-aid  packet,  as  given  in  the  Drill  Regulations  and  Service 
Manual  for  Sanitary  Troops,  are  equally  applicable  to  the  individual  dressing  packet. 

950.  MICROSCOPE,  FIELD,  WITH   ACCESSORY   CASE. 

(  The  microscope  case  and  the  accessory  case  arc  both  contained  in  a  harness-leather  case  with  handle.) 

MICROSCOPE. 
(In  hardwood  case  with  lock  mid  two  keys.) 


Microscope,  with  Abbe  condenser  and  iris 

diaphragm number. . 

Nose  piece,  triple do 

Objectives,  Nos.SandS,  and  }-^imh  oil  immer- 
sion, of  each number. . 


Oculars,  Nos.  S  and  /,,  of  each number. 

Oil,  immersion,  bottle  in  case do. . . 

Stage,  mechanical do. . . 


ACCESSORY   CASE. 
(Hardwood  case  with  lock  and  key.) 


Acid,  hydrochloric,  1  per  cent  in  95  per  cent 
alcohol ,  in  glass  stopper  bottle ounces . . 

Alcohol ,  absol  ute,  60  c .  c  .in  glass  stopper  bottle, 
bottles 

Alcohol,  methyl,  GO  c.c. in  glass  stopper  bottle, 
bottles 

Bottles,  dropping,  T.  K.SOc.c number. . 

Bottle,  glass  stopper,  for  cover  glasses  in  al- 
cohol  number. . 

Bottles,  glass  stopper,  for  slides  in  alcohol, 
number 

Carbol-fuchsin,  0.1-gm.  tablets,  6  in  tube, 
tubes 

Covers,  glass ounces. . 

Forceps,  cover  glass,  Cornet's number. . 

Forceps,  straight,  medium  fine do 

Forceps,  straight,  medium  heavy do 

Graduates,  glass,  10  c.  c.  and  50  c.  c.  nested, 
of  each number. . 


Labels,  microscopical,  square boxes. 

Lamp,  alcohol number. 

Lancit,  hlnod do... 

Loo]),  plal  inum,  with  handle '. do. .. 

Medicine  dioppers,  straight do. . . 

Methylene  blue,  0.1-gm.  tablets,  6  in  tube, 

tubes 

Needle,  platinum,  with  handle number. 

Paiier,  filtering,  Mimktel,  No.  1  F. packages. 

Pencil,  lead number. 

Pencil,  wax do... 

Phenol,  c.  p.  30  c.  c.  in  glass  stopper  bottle, 

bottles 

Slides,  glass dozen. 

Wire,  platinum,  extra cm. 

Wrirht's  stain,  0.05-gm.  tablets,  6  in  tube, 

tubes 


951. 


MICROSCOPE,  POST. 

(In  hardwood  case  with  lock  and  two  keys.) 


Microscope,  with  Abbe  condenser  and  iris 
diapli  ragm number . . 

Nose  piece,  triple do. . . 

Objectives,  Nos.  3  and  6,  and  ^inch  oil  immer- 
sion, of  each number. 


Oculars,  Nos.  S  and  4 ,  of  each munber . .  1 

Oil,  immersion,  bottle  incase do 1 

Stage,  mechanical do 1 


FOEMULAE,   CONTENTS   OF   CHESTS,   CASES,   ETC. 


321 


952. 


RECRITITING     OUTFIT,    EMERGENCY. 

(See  par.  887.) 


Astigmatic  dial,  triple  line number..  1 

Classifwalion   ana     Use   of    Finger    Prints, 

Henry number. .  1 

Container  for  text  cards do 1 

Cotton,  absorbent,  in  roll pounds. .  2 

Head  mirror number. .  1 

Ink  platt do 1 

Ink,  printing,  in  *-poimd  tube tubes. .  1 

Pads,  practice ". number. .  [  8 

Roller,  ink,  handle/or do 1 


Roller,  ink,  summer number 

Specula,  ear,  3  in  set sets 

Speculum,  nasal number 

Stethoscope,  double do. . 

Syringes,  glass,  Luer  type,  H  c.  c do.. 

Syringe,  glass,  extra  needles  for do. . 

Tape  measure,  60  inches do.. 

Thermometers,  clinical do.. 

Tongue  depressor do. . 

Vision  test  card,  folding do. . 


963. 


SADDLE,  PACK. 

(Net  weight,  complete,  75  pounds.) 


The  Medical  Department  pack  outfit  consists  of   the  packsaddle 
proper  and  a  number  of  accessory  articles. 


THE    PACKS.\DDLE    PROPER. 


Pack  frame,  metal number. . 

Stretchers  or  spreaders  for  saddle  pads,  corru- 
gated metal number. . 

Saddle  pads do 

Quarter  straps do 

Quarter  strap  ring  sets,  complete,  consisting  of 
2  rings  with  leather  union  and  2  cintha 

straps sets.. 

Cincha.  horsehair,  double do 

Accessory  leather  straps number. . 


Breast  collar  straps number. 

Breast  collar  body  piece do. . . 

Breast  collar  neck  piece do. . . 

Breast  collar  choke  strap do... 

Fork  straps  for  trtrnbacK do. . . 

Turnback  and  crupper,  complete do. . . 

Breeching  hip  strap do. .. 

Breeching  strap do.. . 

Breeching  body  piece. do. . . 

Thongs,  rawhide do. .. 


ACCESSORY   ARTICLES. 


Rice  frames,  modified,  Nos.  I  and  2.  of 
each number. . 

Straps,  leather,  for  attachment  of  frame  to  rear 
cincha  ring number. . 

Load  straps,  web,  long  and  short,  of  each,  num- 
ber   '. 

Load  cincha  (belly  piece),  short,  complete  with 
2  cincha  straps number . . 


Load  cincha  {top  piece),  long,  complete, 
number 

Manta,  canvas,  6  by  6  feet,  with  20  rawhide 
thongs number. 

Saddle  blanket do. .. 

Blind,  cupped,  complete do. . . 


METHOD    OF    USING    THE    PACK    OUTFIT. 

To  use  the  pack  outfit,  the  saddle  blanket  is  placed  on  the  animal 
and  the  packsaddle  proper  over  the  blanket.  The  breast  collar  and 
breeching  are  adjusted  to  the  animal  as  required.  The  saddle  is  then 
firmly  cinched  in  position.  To  prevent  undesirable  moving  about  on 
the  part  of  the  pack  animal  while  the  saddle  and  load  are  being  placed 
in  position,  it  is  advisable  to  blindfold  the  animal  by  means  of  the 
cuppod  blind. 

To  load  the  animal,  place  the  No.  1  frame  on  the  saddle  followed  by 
the  No.  2  frame  (the  number  is  stamped  on  the  horizontal  bar  of 
each  frame).  Adjust  the  leather  straps  attached  to  the  D  rings  on 
the  under  side  of  each  frame  so  that  when  snapped  into  the  cincha 
rings  of  the  saddle  they  will  hold  the  frame  firmly  against  the  saddle 
but  not  so  tightly  as  to  bend  the  frame.  The  boxes  or  other  articles 
934400-^17 21 


322 


MANUAL   FOR   THE   MEDICAL   DEPARTMENT, 


constituting  the  side  loads  are  placed  iu  tlu^  frames  and  secured  by 
the  short  load  straps  passed  to  the  D  rings  on  the  horizontal  bar  of 
each  frame.  The  top  load,  if  any,  is  then  put  in  place.  The  long 
load  straps  are  now  thrown  over  all,  the  rings  in  their  ends  slipped 
into  the  hooks  on  the  frames,  and  the  straps  drawn  up  tightly  hy 
means  of  the  buckles.  If  necessary,  the  load  may  be  further  sccm-od 
by  the  use  of  the  load  cincha. 

Experienced  packers  may  find  it  an  advantage  to  substitute  for 
the  load  straj>s  a  single  length  of  f-inch  rope  with  a  ring,  or  loo]),  in 
one  end. 

The  boxes  carried  as  side  loads  need  no  protection  from  the  weather. 
When  a  top  load  is  carried  it  is  wrapped  in  the  manta  before  being 
loaded. 

Great  care  should  be  taken  that  approximately  the  same  weight  is 
carried  on  each  side  of  the  saddle,  otherwise  the  load  will  cany  badly 
and  the  pack  animal  will  be  likely  to  develop  sore  back. 

954^  SURGICAL  DRESSINGS,  AMBULANCE  BOX   OF. 

(  Wooden  chest.    Weight  28  pounds.) 


Bandages,  gauze,  compressed,  3  sizes, 
number 

Chloroformura,  J-pound  tins number. . 

Cotton,  absorbent,  sterilized,  in  1-ounce 
package packages. . 

Individual  dressing  packets  (par.  949), 
number , . . . 

Gauze,  sublimated,  2  half-yard  lengths  in 
package packages. . 

Hydrargyri  chloridum  corrosivum,  tablets 
(antiseptic)  (par.  902),  3.50  in  12-ounce 
tin tins. . 


Iodine  swabs,  6  in  box boxes. . 

Pins,  safety dozen . . 

Plaster,  adiiesive,  z.  o.,  5  yards  by  1  inch, 

spools 

Spiritus  ammoniae  aromatlcus,  J  pound  in 

glass  stoppered  bottle '. .  .bottles. . 

Vials,     4-ounce,     with    rubber    stoppers. 

number 


955. 


SURGICAL   DRESSINGS,  BOX  OF. 

(  Weight  03  pounds.) 


Bandages,     gauze,     compressed,     3     sizes, 

number 

Cotton,   absorbent,    sterilized,    in    1-ounce 

package packages. . 

Individual    dressing    packets    (par.    949), 

number 

Gauze,  sublimated,  2  half-yard  lengths  in 

package packages. . 

loduni-potassiiiodidum tubes.. 

Pins,  safety,  3  sizes dozen. . 


144 

44 

48 

140 

GO 

6 


Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch, 
spools ". 

Sapo  mollis  (green  soap),  J-pound  jar  in  case, 
jars 

Splints,  wire  gauze  for,  1  yard  in  roll . .  rolls . 

Splints,  wood  veneer number. 

Tags,  diagnosis books. 

Vials,  4-ounce,  with  rubber  stoppers, 
number 


956. 


SYRINGE,  HYl»ODERMIC. 


This  syringe,  as  now  issued,  has  as  accessories,  besides  two  needles 
and  extra  wires  (the  needles  and  wires  are  expendable),  one  tube  of 
each  of  the  following  hypodermic  tablets: 


Apomorphinae  hydrochloridum mgms. . 

.\tropinae  sulphas do 

Cocamae  hydrochloridum do 


() 

0.6."; 
10 


Morphinae  sulphas.. .,... mgms.. 

Nitroglycerin '. .;. do 

Strychninae  sulphas '.l.l'. do 

iTTT! 


0.6.5 
1 


rOBMULAR,   COXTENTS   OF   CHESTS,   CASES,  ETC. 


323 


967. 


THERMO -CAUTERY,  PAQUEL.IN'8, 

(hi  imitation-Uatber  covered  case.) 


Apparatus,  double  bulb,  for  supplying  air, 

number 

Cautery  knife number. . 

Cautery  point do 


Handle,  canulated,  ebony number. 

Reservoir,  for  hydrocarbon do. . . 

Tube,  lengthening do. . . 

Tube,  rubber do. . . 


Note. -Some  of  the  older  models  have,  in  plate  of  the  cautery  point,  a  cautery  button,  or  both  may  be 
found  in  some  cases. 


958. 


VENEREAL  PROPHYLAXIS  UNIT. 

(In  pine  box  tvith.  hinged  lid.     M'eight  1,5  pounds.) 


Basins,  c.w number. . 

Form  77,  M.  D do  — 

Graduate,  .class,  120  f.  c.  in  ca.ic do  — 

Hydrargyri  ehloridum  corrosivum,  tablets 
(antiseptic)  (par.  902),  350  in  12-oimce  tin, 

tins 

Protargol,  2 gms.  in  ampul ampuls. 


3 

200 

1 


1 

200 


Soap,  Ivory cakes.. 

Sponges,  gauze,  1  dozen  in  box boxes. . 

Syringes,  penis,  h.  r number.. 

Towels,  hand do 

Unguenlum  hydrargyri  chloridi  mitis,  30 
per  cent,  .J  pound  in  wide-mouth  bottle, 
bottles 


Note.— List  of  contents  and  directions  for  administering  the  prophylactic  are  pasted  on  inside  of  cover. 
gcg  VISION  TEST   SET. 


Cards,  folding,  test,  for  testing  visual  acuity, 

nimiber 

Dial,  triple  line,  astigmatic number. 

Eye  color  disk,  blue  and  broton do  — 


Pamphlet  of  instructions  for  using  the  vision 

test  set number.. 

Test  type  card,  Jaeger,  indestructible.  ...do 

Testwools, Holmgren,  fortestingcolorsense.sets.. 


ARTICLE  XXI.— BLANK  FORMS. 


960.  In  the  following  lists  are  included  all  Medical  Department 
forms,  the  War  Department  standard  forms  issued  and  used  by  the 
Medical  Department,  and  those  forms  of  other  staff  departments 
which  are  in  common  use  by  medical  officers.  These  forms  are  sup- 
phed  as  indicated  under  each  department,  respectively,  except  that 
in  the  theater  of  operations  blank  forms  are  obtained  as  indicated  in 
paragraph  551. 

MEDICAL  DEPARTMENT. 

961.  Requisitions  for  tliese  blanks  for  the  use  of  troops  under  the 
jurisdiction  of  a  department  commander  will  be  made  on  Form  37, 
on  the  basis  of  a  six  months'  supply  for  posts  or  of  a  one  month's 
supply  for  troops  in  the  field,  and  be  forwarded  to  the  department 
surgeon,  who  will  alter  them  as  he  deems  appropriate  and  refer  them 
as  approved  to  the  proper  medical  supply  depot  for  issue.  Requisi- 
tions for  the  use  of  troops  under  the  immediate  jurisdiction  of  the 
War  Department  will  be  prepared  in  like  manner  and  forwarded  to 
the  Surgeon  General.     (See  par.  551  b.)     {G.  M.  M.  D.,  No.  2.) 


Form 

No. 


Purpose. 


14 

320 

320B 

322 

322A 

325 

326 

327 

329A 

329B 

330 

330A 

330B 

330C 

334 

334A 

335 

341 A 

352 

353 

354 

355 
356 
365 
377 


12 

ICa 

16b 

16c 

16d 

17 

17o 

176 

17c 

18 


(a)  \y KK  Department  Standakd  Forms. 

Report  of  open-market  purchases  and  procurement  of  services  not  personal  exceeding  $100. 
Account  current  (large  size,  10  appropriations,  16  by  loy. 
Account  current  (small  size,  2  appropriations,  14  by  8). 

Abstract  of  funds  received  from  authorized  sales  of  public  property  (exhibit  to  account  current). 
Abstract  of  funds  received  from  sales  of  medicines  to  civilians  (exhibit  to  account  current). 
Accoimt  of  sales  of  public  property  at  public  auction  or  on  sealed  proposals  (exhibit  to  accotmt  cur- 
rent). 

►Combination,  invoice  of  and  cash  receipt  for  funds  transferred  (voucher  to  account  ciurent). 

Abstract  of  disbursements  (medium  size,  11  appropriations,  16  by  \0h,  exhibit  to  account  current). 
Abstract  of  disbursements  (small  size,  3  appropriations,  14  by  S,  "exhibit  to  account  current). 
Voucher  to  alistract  of  disbursements,  for  purchases  and  services  other  than  personal,  including 

laundry  accounts  (small  size,  10^  liy  S). 
Voucher  "to  abstract  of  disbursements,  for  purchases  and  services  other  than  personal,  including 

laundry  accounts  (long  size,  14  by  8). 
Voucher  "to  abstract  of  disbursements,  for  purchases  and  services  other  than  personal,  extra  fheet, 

lOJ  by  8  (insert). 
Voucher  to  abstract  of  disbursements,  for  purchases  and  services  other  than  personal  (book  form, 

double  sheet,  16  by  lOJ). 
Voucher  to  abstract  of  disbursements,  pay  roll  of  civilian  employees  (including  Army  Nurse  Corps). 
Voucher  to  abstract  of  disbursements,  pay  roll  of  civilian  employees,  extra  sheet. 
Voucher  to  abstract  of  distnirsements,  personal  services  (individual  pay  roll  of  employee). 
Voucher  to  alistrait  of  disbursements,  for  job  printing  (small  size,  14  by  ,8i). 
Voucher  to  abstract  of  disbursements,  for  purchases  of  medicines  on  prescription. 
Voucher  to  abstract  of  disbursements,  personal  services,  medical  attendance  by  ci\-ilian  physician. 
Voucher  to  abstract  of  disbursements,  personal  services,  examination  and  vaccination  of  recruits  by 

civilian  physician. 
Voucher  to  abstract  of  disbursements,  care  and  treatment  by  civil  hospital.  , 
Voucher  to  abstract  of  disbursements,  personal  services,  civilian  nurse. 
Subvoucher,  receipt  for  cash  payment. 
Voucher  to  abstract  of  disbursefaents,  personal  services,  reimbursement  of  medical  bills. 

(6)  Medic.\.l  Department. 

Invoice  of  articles  purchased  (to  accompany  bill  for  supplies). 

Issue  slip,  expendable  property. 

Issue  slip,  noncxpendablr  property. 

Credit  slip,  nuncxpcndabli'  property. 

Exchange  slip.  iuiuexpi'ii(lai)lp  propertv. 

Return  of  mecliiul  property,  front,  card. 

Return  of  nviliial  properly,  original. 

Return  of  medical  prdjierty,  retain. 

Return  of  me<lical  pro()erty,  back,  card. 

List  of  medical  property  expended  (for  supply  depots  only). 

324 


BLANK    FORMS.  325 


Purpose. 


Medical  Department— Continued. 

Invoice  of  or  receipt  for  medical  property  delivered  to  Quartermaster  Corps  for  transportation. 

Invoice  of  or  receipt  for  medical  supplies,  post. 

Invoice  of  or  receipt  for  medical  supplies,  field. 

Invoice  of  or  receipt  for  medical  supplies  (single  sheet). 

Invoice  of  or  receipt  for  dental  supplies. 

I'acker's  list. 

Reiinisition  for  post  medical  supplies,  annual. 

Uequisition  for  post  medical  supplies,  field  medical  supplies,  or  dental  supplies,  special. 

Kequisition  for  denial  su|)plies,  annual. 

Requisition  for  blank  forms. 

Circular  advertisement  and  proposal  for  supplies. 

Circular  advertisement  and  proposal  for  laundry  work. 

Abstract  of  proposals. 

Conlriict  for  medical  supplies. 

Contract  for  laundry  work. 

Contract  for  services  as  nurse. 

Contract  witli  private  pliysician  (general  form). 

Contract  with  private  jihysieian  (special  form). 

Contract  with  adini;  dcutal  surgeon. 

Return  of  medical  otiicers,  etc. 

Return  of  tlie  llusjiilal  Corps,  garrison. 

Return  of  the  ilosiiital  Corps,  field. 

Application  for  transfer  to  the  Hospital  Corps. 

Statement  of  the  hospital  fund,  etc. 

Employee's  certificate  of  indebtedness  for  hospital  service. 

Monthly  sanitary  report. 

Sanitary  inspection  report,  Medical  Department  organizations. 

Report  sheet  for  report  of  sick  and  wounded. 

Nominal  check  list  for  report  ot  sick  and  wounded  (sheet  1). 

Nominal  check  list  for  report  of  sick  and  wounded  (follow  sheet). 

Register  and  report  card.' 

Index  to  register  of  patients  (card). 

List  of  sick  and  wounded  (used  in  the  theater  of  operations  only).  . 

Surgeon's  request  for  descriptive  list. 

Clinical  record,  brief. 

Clinical  record,  family  and  personal  history. 

Clinical  record,  history  of  present  disease. " 

Clinical  record,  subjective  symptoms. 

Clinical  record,  objective  symptoms. 

Clinical  record,  oljjective  symptoms,  continued. 

Clinical  record,  progress. 

Clinical  record,  temperature,  etc. 

Clinical  record,  temperature,  etc.,  graphic. 

Clinical  record,  treatment. 

Clinical  record,  operation  report. 

Clinical  record,  radiographic  report. 

Clinical  record,  report  on  urine. 

Clinical  record,  report  on  feces. 

Clinical  record,  report  on  sputum. 

Clinical  record,  report  on  blood. 

Clinical  record,  Wassermann  test. 

Clinical  record,  gonoeoccus  fixation  test. 

Clinical  record,  tj-phoid  report. 

Clinical  record,  report  on  stomach  contents. 

Clinical  record,  laboratory  report,  miscellaneous. 

Malarial  register. 

Report  of  dental  work. 

Report  of  surgical  operations. 

Report  of  examination  for  sergeant,  or  sergeant  first  class.  Hospital  Corps. 

Certificate  of  proficiency.  Hospital  Corps,  field  hospital  or  ambulance  company. 

Certificate  of  proficiency,  Hospital  Corps  detachment. 

Certificate  of  proficienc V,  H;)spital  Corps,  Army  Medical  School. 

Certificate  of  identity  (in  books  of  100). 

Efliciency  report.  Army  Nurse  Corps. 

Return  of  the  Nurse  Corps. 

Morning  report,  Army  Nurse  Corps. 

Dental  engagement  slip. 

Record  of  assignment  and  pay.  Army  Niu-se  Corps. 

Certificate  of  graduation.  Array  Medical  School. 

Nurse's  bedside  notes. 

Report  of  physical  examination,  Army  Nurse  Corps. 

Chief  surgeon's  directory  (cards). 

Surgeon's  morning  report  of  sick. 

Morning  report  ol  ward. 

Consolidated  morning  report  of  wards. 

Diet  card. 

Mess  account. 

Patient's  property  card. 

Patient's  property  tag. 

Venereal  prophylaxis  card. 

1  When  used  for  register  of  patients  known  as  "register  card";  for  report  of  sick  and  wounded  as  "report 
card";  for  transfer  of  patients  as  "  transfer  card";  for  change  ot  diagnosis  as  "change  of  diagnosis  card"; 
for  correction  of  report  card  as  "correction  card." 


326 


MANUAL   FOE    THE   MEDICAL  DEPARTMENT. 


Form 
No. 


Purpose. 


78 
79 
80 
81 
82 
83 
84 

85 
94 
95 
97 
99 
100 


Medical  Department— Continued. 

Syphilitic  register. 

Register  of  dental  patients  (card). 

P^lliciency  report,  Hospital  Corps  soldier. 

Vaccination  register. 

Daily  field  report  ol  sanitary  personnel  and  transportation. 

Daily  field  report  of  patients. 

Consolidated  tlaUy  field  report  of  sanitary  persoimel  and  transportation,  and  consolidated  daily 

field  report  of  patients. 
Noneffective  curve  chart. 
Ri'port  of  chemical  analysis  of  water. 
Report  of  bacteriological  examination  of  water. 
Wassermann  card. 
Gonocoecus  fixation  card. 
Recruit  depot  Wasserman  record. 


962. 


ADJUTANT  GENERAL'S  DEPARTMENT. 


Requisitions  for  these  forms  should  be  made  January  1  and  July  1 
to  the  department  adjutant  general,  except  in  the  case  of  forms  the 
titles  of  which  are  printed  in  italics,  which  are  supplied  directly  by 
The  Adjutant  General's  Office. 


Form  No. 

Purpose. 

370  W.  1). 

Final  statement. 

3 

Notification  of  discharge. 

15 

Statement  of  service. 

17 

Certificate  of  disability  for  discharge. 

IS 

Trimonthly  report  of  enlistments. 

21 

Muster  roll,  detachment. 

22 

Enlistment  paper. 

25 

Descriptive  and  assignment  card. 

26 

Field  return. 

27 

Post  return. 1 

27B 

Extra  sheet  to  Form  27. 

29 

Descriptive  list. 

30 

Return  of  detachment  (with  model).i 

34 

Inventory  of  efi'ects  of  deceased  soldier. 

59 

Report  of  cases  tried  by  summary  court.i 

66 

Furlough. 

95 

Dascriptivelist  of  deserters. 

99 

Record  of  summary  court. i 

135 

Report  of  physical  examination  (rocniit). 

140 

Account  of  clothing  issued  to  recruit. 

141 

A  pplical  ion  for  enlistment. 

143 

Medical  certificate  for  leave  of  absence. 

149 

Return  of  casualties  in  action. 

196 

Report  of  survey. 

260 

Identification  record  card. 

261 

Photograph  and  negative  jacket. 

265 

Monthly  report  of  medical  examination  of  applicants  for  enlistment. 

277 

Descriptive  card  of  public  animals. 

332 

Morning  report,  company  or  detachment. 

Daily  sick  report. 

Report  of  phvsiial  examination  and  test,  field  ofllcers. 

339 
377 

378 

Report  of  physical  examination  and  tost,  captains  and  lieutenants. 

380 

Designation  of  beneficiary  of  ollicer  or  enlistea  man. 

383 

Requisition  for  books  and  blank  forms  supplied  by  The  Adjutant  General  s 

Departmeafc. 

415 

Report  of  death  and  disposal  of  remains.' 

423 

Preference  card. 

429 

Efficiency  report. 

442 

Reservist's  enlistment  paper. 

443 

Reservist's  descriptive  card. 

444 

Reservist's  (luartcilv  report  card. 

484 

Report  of  board  on  disability  of  enlisted  men. 

489 

Model  renuirksfor  iniisid-  mfls. 

526 

Honorable  discharge  from  United  States  Army. 

626 

Discharge  from  I'nitod  States  Army. 

627 

Dishoiuirable  dischaige  from  United  States  Army. 

650 

Report  of  soldier's  transfer  to  Army  Reserve. 

Correspondence  book. 

Corrcs'iiomlcncf  model. 

(Interior  DopaJtment)  Medical  certificate  for  insane  persons. 

1-107 

I  For  general  hosnilals  or  other  independent  commands  only. 


BLANK    FOKMS.  327 

963.  QUARTERMASTER  CORPS. 

The  quartermaster  at  a  garrisoned  post  is  tlie  source  of  sup- 
ply for  all  organizations  at  the  post  requiring  blank  forms  of  the 
Quartermaster  Corps.  (For  reference  to  complete  hst  of  Quarter- 
master Corps  forms  see  Appendix:  Blavk  Forms.) 


Form 
No, 


336 

350 

350a 

36tt 

366a 

369 


8a 

38 

39 

41 

42 

69 

70 

160 

160a 

164 

165 

16oa 

165b 

180 

180a 

201 

204 

208 

211a 

213 

213a 

218 

218a 

223 

227 

406 


Purpose. 


(a)  Wae  Department  Standard  Forms. 
()  nicors'  pay  account. 

Kcimburscment  of  traveling  expenses  (book). 
Keimbursemcnt  of  traveling  expenses  (loose  sheet). 
I'ay  roll,  enlisted  men  (first  sheet). 
Pay  roll,  enlisted  men  (insert  sheet). 
Soldier's  or  nui'se  s  pay  voucher  (when  entitled  to  commutation  of  quarters,  heat,  or  light). 

(6)  Quartermaster  Corps. 
Advice  of  soldiers'  deposits. 
Soldier's  allotment,  original  and  duplicate. 
DLscontiauance  of  soldier's  allotment. 
Soldier's  deposit  book. 

Certificate  for  commutation  of  rations  (individual). 
Model  remarks  for  pay  rolls. 
Instructions  (pay  roll"). 
Kei|uisltions  for  suiiplios,  general.' 
t\ci|iusiiions  for  su|)plies,  general  (extra  sheet). 
Direetions  for  measuring  for  clothing  of  special  sizes. 
Individual  clothing  slip  (original  and  duplirale). 
Individual  clothing  slip  for  Alaska  (original  and  duplicate). 
Statement  of  clotliing  charged  to  enlisted  men. 
Abstract  of  clothing  drawn  on  individual  clothing  slips. 
Abstract  of  clothmg  drawn  on  individual  clothing  slips,  in  Alaska. 
Invoice  of  or  receipt  for  quartermaster  propertj'  transferred. 
Eequisition  for  issue  of  stationery. 
Statement  of  charges. 

Requisition  for  fuel  and  bedding  (for  field  use). 
Requisition  for  clothing  (in  bulk). 
Requisition  for  clotlihig  (in  bulk)  (extra  sheet). 
Requisition  for  forage  (book).' 

Requisition  for  special  substitution  forage.  • 

Ration  return  (book). 
Memorandum  receipt. 
Official  telegrams  (book,  large  and  small). 


'  For  general  hospitals  or  otlier  independent  commands  only. 

964.  ORDNANCE  DEPARTMENT. 

Ordnance  Department  blank  forms  are  obtained  on  requisition 
forwarded  direct  to  the  Chief  of  Ordnance. 


Form 
No. 


Purpose. 


18 

18- 

cover 

18a 

19 

86 

94 

146 

151 

152 

386 

1467 

1715 

1719 

1879 


Return  for  organizations  for  which  the  unit  accountability  system  is  not  prescribed. 

[•For  retui'ns  for  which  forms  numbered  is  are  used. 

Return,  individual  officer's  horse  equipment. 

Certificate  of  expenditures,  material. 

Statement  of  charges  on  pay  roll. 

Monthly  report  of  ordnance"  charges  on  pay  rolls. 

Combination  blank  for  issue  of  ordnance  property  (for  invoice  or  receipt). 

Transfer  of  ordnance  property.    (Thin  paper  m  pads  of  30  sheets  each.) ' 

Invoice  and  receipt  for  transfer  of  ordnance  property  under  Army  liegulatlons. 

Requisition  for  ordnance  and  ordnance  stores. 

List  of  blanks,  pamphlets,  etc.^ 

Equipment,  Cavalry  model  of  1912:  Description  and  directions  for  use  and  care  of.^ 

Equipments,  horse,  and  equipments  for  ofhcers  and  enlisted  men.2 

Price  list  of  small  arms,  personal  equipment  of  soldier,  etc.^ 


1  Used  only  in  time  of  war  and  will  not  ordinarily  be  supplied  except  for  such  use. 
•  Issued  to  organizations  only. 


328  MANUAL    FOR   THE    MEDICAL   DEPARTMENT. 

965.  INSPECTOR  GENERAL'S  DEPARTMENT. 

Requisitions  for  these  blanks  should  be  forwarded  direct  to  the 
Inspector  General  of  the  Army. 


Form 
No. 


Purpose. 


Inventorj'  and  inspection  report. 

Inventory  and  inspection  report,  inside  sheets  for. 


APPENDIX. 


• 


• 


In  the  following  pages  an  attempt  is  iiuidc!  to  furnish  medical 
officers  a  reference  to  such  general  orders,  circulars,  })ulletins,  etc.,  as 
contain  information  constantly  needed  in  Medical  Dei)artjuent  adniin- 
istration.  The  list  is  not  complete,  and  medical  officers  are  advised 
to  make  such  additions  thereto  in  their  own  copies  of  the  Manual  as 
they  may  find  useful.  To  get  the  best  residts  from  the  list  medical 
officers  should  post  necessary  changes  therein  from  time  to  time  as 
orders,  bulletins,  etc.,  are  received.  With  that  procedure  in  view 
citation  by  number  of  any  particular  order  is  made  as  a  rule  but  once, 
cross  references  under  the  various  subject  titles  indicating  where  its 
text  may  be  found. 

Administration  and  Supply: 

See  Mobile  Army. 
Applicants  for  Enlistment: 

English  language,  tests  to  determine  knowledge  of,  G.  ().  37,  1910. 

Enlistments  to  be  made  by  medical  officers,  when  available,  G.  O.  Iti2,  190G. 

General  (lualifications  required,  Cir.  1,  Adjutant  General's  Office,  1915. 

Identification  records  of,  see  Identification  Records. 

Information  to  be  imparted  to,  Oir.  2,  Adjutant  General's  Office,  1915. 

Physical  qualifications  of,  see  Physical  Examinations. 

Reenlistment  after  dishonorable  dischai'ge,  G.  O.  44,  1913. 

See  also  Recruits. 

Army: 

Mobile,  see  Mobile  Army. 

Reserve,  Bui.  15,  1912;  G.  O's  11,  26,  1913;  Bui.  33,  1913;  Bui.  2,  1915;  Par.  Ill, 
G.  O.  4,  1915;  not  entitled  to  medical  attendance,  Bui.  18,  1915;  transfers  to' 
G.  O.  47,  1915;  hospital  treatment  of  those  arriving  at  home  ports  on  trans- 
ports, Bui.  8,  1916. 

Army  Field  Service  and  Correspondence  Scliool  for  Medical  Officers: 

See  Medical  Officers. 

93440°— 17 22  329 


APPENDIX.  331 

Array  Nurse  Corps: 

Burial  of  deceased  nurses,  decision  of  Judge  Advocate  General,  Bui.  50,  1914. 
Artificial  Respiration: 

See  First  Aid. 
*    )       Baggage,  Officers': 

See  Officers'  Baggage. 
Bedding  Rolis: 

See  Officers'  Equipment. 
Beef,  Inspection  of: 

See  Subsistence  Stores. 
Blank  Forms: 

Adjutant  General's  Department,   List  of  Blank  Forms  and   Books,   Adjutant 
General's  Office,  Mar.  8,  1915. 

Quai-termaster  Corps,  Appendix,  Manual  for  the  Quartermaster  Corps. 

War  Department,  Bui.  38,  1915. 
Boolts  and  Manuals: 

Destruction  of  by  organization  commanders,  G.  O.  179,  1904. 

For  sale  or  issue  by  the  War  Department,  list  of,  Bui.  12,  1916. 
Bucliet  and  Basin: 

See  Officers'  Equipment. 
Bulletins: 

See  Orders,  Bulletins,  and  Changes. 
Cadet  Candidates: 

Physical  examination  of,  see  Physical  Examinations. 
Campaign  Badges: 

Extra  allowance  of  bars  and  ribbons  for,  Cir.  82,  1908. 

May  be  turned  in  when  unserviceable,  G.  O.  179,  1906. 

Of  deceased  soldiers,  see  Deceased  Enlisted  Men. 

To  whom  issued,  G.  O.  4,  1905;  Cir.  27,  1907;  G.  0.  129,  1908-  Cir  88  1908- 
G.  O.  96,  1909;  G.  O.  22,  1913;  G.  O.  61,  1914.  Army  of  Cuban  occupation,' 
G.  O.  40,  1915. 


^ 


APPENDIX.  833 

Candidates  for  Commission: 

Physical  examination  of,  see  Physical  Examinations. 
Cavalry  Seat: 

Definition  of,  G.  O.  29,  1911. 
I  )      Certificate  of  Merit: 

Badge  to  be  issued  for  each  certificate,  Oir.  ?>^,  1908. 
Changes: 

See  Orders,  Bulletins,  and  Changes. 

Civilian  Employees: 

Compensation  act,  for  those  injured,  Oir.  68,  1908,  and  Cir.  E,  War  Department, 
Apr.  2;i,  1912. 

Death  of,  action  to  be  taken  by  senior  medical  officer  present,  G.  O.  07,  1910. 
Report  of  under  "Compensation  act,"  Cir.  08,  1908. 

Entitled  to  time  in  which  to  vote  at  congressional  elections,  Bui.  4,  1915. 

Issue  of  fuel  in  kind  to,  Bui.  43,  1914. 

Leaves  of  absence,  Cir.  A,  War  Department,  Jan.  12,  1912. 

Ration  allowance  in  military  ho-spitals,  Bui.  8,  191G. 

Ration  returns  of,  G.  O.  121,  1902. 

Civilian  Physicians: 

Attending  officers  or  enlisted  men  on  garrisoned  posts,  G.  O.  IGO,  1905;  Cir.  26, 
1907. 

Clothing  and  Equipment: 

Badges  ami  medals,  see  Badges. 

Chevrons  will  not  be  issued  to  indicate  service  for  which  a  campaign  badge  has 
been  given,  Cir.  83,  1907. 

"Tlothing  order,"  allowance  in  kind,  articles  issued  without  charge,  money 
allowance,  prices  charged  when  lost,  etc.,  sizes  of  clothing,  and  allowance  of 
tableware  and  kitchen  utensils,  G.  O.  22,  1915. 

"^  Deserter's,  disposition  of,  G.  O.  15,  1915. 

Field  kits  and  surplus  kits.  G.  O.  56,  1915. 

IdentificiitioTi  tags,  see  "Clothing  order";  also  Uniform  Regulations. 

GratuiloTis  issue  of,  when  destroyed  to  prevent  contagion,  Cir.  20,  1899. 

Olive  drab  cotton  cloth,  directions  for  laundering,  Cir.  59,  1910. 


APPENDIX.  335 

Clothing  and  Equipment — Continued. 
Overcoats,  see  "Clothing  order." 

Record  of  sizes  to  be  kept  by  detachment  commanders,  Uniform  Regulations. 
Shoes,  neats-foot  oil  for,  Cir.  72,  1907. 
Sweaters,  issue  and  use  of,  see  "Clothing  order. -' 
\Mien  ordered  oversea,  G.  O.  206,  1910. 
Clothing  Order: 

See  under  Clothing  and  Equipment, 
Clothing  Rolls: 

See  Officers^  Equipment. 
Confidential  Documents: 

Responsibility  of  officers  for,  Cir.  78,  1907.  ^  I 

Continuous  Service: 
See  Enlisted  Men. 
Contract  Surgeons: 

Entitled  to  admission  to  Government  Hospital  for  Insane,  Cir.  56,  1906.  \ 

Forage  for  horses  of,  Cir.  61,  1902.  i 

Quarters  of,  Cir.  82,  1905. 
Cooks,  Hospital  Corps: 

See  Hospital  Corps. 
Correspondence: 

See  Records  and  Correspondence.  ■ 

Deaths:  { 

Of  civilian  employees,  see  Civilian  Employees. 
Of  enlisted  men,  see  Deceased  Enlisted  Men. 
Of  officers,  see  Deceased  Officers. 
Deceased  Enlisted  Men: 

Action  to  be  taken  by  senior  medical  ofncer  present,  G.  O.  67,  1910. 
Campaign  badges,  part  of  the  effects  of,  Cir.  45,  1905. 
Deceased  Officers: 

Action  to  be  taken  by  senior  medical  officer  present,  G.  O.  67,  ]ni0. 


APPENDIX.  337 

Dental  Surgeons: 

Acting,  not  officers  of  Army,  Bui.  5,  1915. 

How  carried  on  the  rolls,  Cir.  33,  1905. 

Quarters  of,  Cir.  32,  1905. 
Dentists'  Assistants: 

See  Hospital  Corps. 
Descriptive  Lists: 

See  Records  and  Correspondence. 
Discharge  of  Enlisted  Men: 

At  isolated  stations  where  there  is  no  commanding  officer,  G.  O.  52,  1906. 

By  favor,  illegal,  G.  O.  31,  1914. 

By  pm-chase,  G.  O.  31,  1914. 

Circumstances  under  which  boards  should  l>e  convened,  Cir.  18,  1909. 

Discharge  may  be  signed  by  staff  officers  of  field  rank,  Bui.  52,  1914. 

For  inaptitude  or  bad  habits,  Bui.  10,  1915;  Par.  Ill,  Bui.  24,  1915. 

On  surgeon's  certificate,  Army  Regulations;  G.  O.  174,  1909,  as  modified  by  G.  O. 
191,  1909,  Cir.  62,  1909,  G.  O.  11,  1912,  G.  O.  69,  1913,  G.  O.  82,  1914. 

Porto  Rico  Infantry  and  Philippine  Scouts,  G.  0.  174,  1909  does  not  apply,  Cir. 
62,  1909. 

"When  one  dependent  parent  has  died  since  enlistment,  G.  O.  31,  1914. 

Without  honor,  when  caused  by  venereal  disease,  G.  O.  1^5,  1905;  Cir.  93,  1908. 
EflBciency  Records: 

See  Officers. 
Enlisted  Men: 

Clothing  of,  see  Clothing  and  Equipment. 

Commutation  of  rations,  Bui.  8,  1916. 

Continuous  service,   accomplished  only  by  actual  reenlistment  within  three 
months,  not  by  application,  Cir.  3,  1908. 

Credit  at  post  laundries,  see  Laundries. 

Death  of,  see  Deceased  Enlisted  Men. 

Debts  of,  policy  of  War  Department,  Cir.  47,  1910. 

Discharge  of,  see  Discharge  of  Enlisted  Men. 


APPENDIX.  339 

Enlisted  Men— Continued. 

Identification  of,  see  Identification  Records. 
Insane^  see  Insane. 
Line  of  duty,  see  Line  of  Duty. 
Pay,  loss  of  for  "misconduct,"  Bui.  18,  1915. 
Pay  of,  wheu  held  after  expiration  of  enlistjient,  (?ir.  53,  1902. 
Physical  examinations  of,  see  Physical  Examinations. 
Transferred  from  one  arm  to  another,  cost  of,  Cir.  45,  1906. 
Travel  allowances  of,  see  Travel  Allowances. 
Enlistment  Papers: 

See  Records  and  Correspondence. 
Equipment: 

"A,"  "B"  and  "C,"  G.  O.  85,  1914. 

Desky,  regimental  sanitary  troops,  carried  on  field  train,  G.  O.  35,  1914. 
Gf  enlisted  men,  see  Clothing  and  Equipment. 

Gf  the  Hosijital  Gorps,  see  Hospital  Corps,  and  Clothing  and  Equipment, 
Gf  officers,  see  Officers^  Equipment. 

Tables,  Quartermaster  Supplies,  see  Quartermaster  Supplies. 
Unit  accountability,  G.  G.  52,  1915. 
Examinations: 

For  promotion  of  oSicers,  see  Officers. 
Physical,  see  Physical  Examinations. 
Feet: 

Care  of,  G.  O.  26,  1912;  G.  G.  30,  1913. 
See  also  The  Soldier's  Foot  and  the  Military  Shoe,  Munson, 
Field  Glasses: 

See  Officers^  Equipment. 
Field  Service: 

See  Mobile  Army. 
Field  Training: 

See  Mobile  Army. 


APPENDIX.  341 

Field  Trains: 

T^oadine:  tables,  G.  O.  8,  1915. 
Fire  Extinguishers: 

To  be  recharged  annually,  G.  O.  5,  1914. 
First  Aid: 

Artificial  respiration,  Schaefer,  Bui.  37,  1914. 
First-Aid  Pacliets: 

Description  of,  G.  O.  84,  1900. 
Issue  and  use  of,  Cir.  2,  1908;  (!.  O.  44,  1918. 
Fuel: 

Issue  and  allowances  of  at  military  posts,  G.  O.  (13,  1915. 
Zones  of  equal  temperature,  G.  O.  57,  1914;  G.  O.  40,  1915. 
Hawaiian  Department,  Par.  V,  G.  O.  65,  1915. 
Funds: 

Use  of,  for  other  purposes  than  those  for  which  appropriated,  G.  ( ).  9,  1914. 
General  Hospitals: 

Supplies  for,  see  Supplies. 
Gifts: 

To  superiors  forbidden,  G.  O.  77,  1909. 
Hague  Conventions: 

See  Red  Cross. 
Hearing: 

Method  of  testing,  see  Vision  and  Hearing. 
Horse  Equipment: 

Hospital  Corps,  care  of,  see  Hospital  Corps. 
Officers,  see  Officers'  Horse  Equipment. 
Hospital  Corps: 

Clothing,  see  Clothing  and  Equipment. 

Dentists'  assistants,  Cir.  33,  1905. 

Destined  for  the  Philippine  Islands,  equipment  to  be  taken,  Cir.  6,  1907, 


r 


APPENDIX.  343 


Hospital  Corps — Coulinued. 


Equipment  of,  see  Clothing  and  Equipment,  and  Manual  for  the  Medical  Depart- 
ment. 

Horses  and  horse  equipment  for  their  use  will  be  cared  for  by  them,  Cir.  92,  1909. 

IrLstrurtion  in  equitation,  G.  O.  169,  1911. 

Members  of,  proficient  in  identification  work,  G.  O.  8,  1910. 

Quartermaster  pi'operty  transfen-ed  with,  see  Qriartmnnster  Supplies. 

Transfer  to  or  from  the  line,  is  for  the  convenience  of  the  Government,  Cir.  81, 
1909;  G.  O.  HO,  1913. 

Hospital  Fund: 

Retained  statement  of,  to  constitute  council  book  required  by  Army  Regulations, 
G.  O.  67,  1914. 

Ice: 

Issue  of,  G.  O.  117,  1904. 
Identification  Records: 

As  testimony,  Cir.  11,  1909;  G.  O.  9,  1916. 

Electric  light  instead  of  magnesium  ribbon,  Cir.  79,  1908. 

Finger  print  system,  adoption  of,  G.  O.  68,  1906. 

In  the  Philippine  Islands,  G.  O.  206,  1906;  G.  O.  119,  1909. 

Members  of  Hospital  Corps,  proficient  in,  see  Hospital  Corps. 

Recording,  forwarding,  and  technique  of,  Cir.  44,  1906;  Cirs.  2,  75,  85,  1907;  Cirs. 
16,  51,  1908;  Par.  II,  G.  O.  85,  1914. 

Identification  Tags: 

See  Clothing  ami  Equipment. 
Insane: 

Scheme  for  examination  of,  Cir.  12,  Surgeon  General's  Office,  1913. 

Those  entitled  to  enter  the  Government  Hospital  for,  Cir.  11,  190? 

See  also  Officers,  and  Contract  Surgeons. 
Eitchen  Cars: 

Employment  of,  G.  O.  218, 1909. 

Fuel  for  cooking,  G.  0.  34, 1910. 

Ration  to  be  issued  for  use  on,  G.  O.  56,  1910, 


APPENDIX.  345 

Letters  and  Indorsements: 

See  Records  and  Correspondence. 
Light: 

Allowance  of,  to  different  buildings,  G.  0.  33,  1915. 
Line  of  Duty: 

Decisions  of  Judge  Advocate  General,  BuJs.  9,  14,  26,  1915. 
Loading  Tables: 

See  Field  Trains. 
Medals: 

See  Badges. 

Medical  Corps: 

Physical  requirements  for  candidates  for  appointment  in,  see  Physical  Examina- 
tions. 

Medical  Oflficers: 

Army  Field  Ser\'lce  and  Correspondence  School  for,  G.  O.  128,  1911. 

See  Officers;  also  Medical  Corps. 
Medical  Reserve  Corps: 

Status  of  officers  of,  on  first  joining,  Cir.  13,  1909.  ^ 

See  also  Officers. 
Militia,  Organized: 

See  Organized  Militia. 
Mobile  Army: 

Administration  and  supply  in  time  of  war,  G.  O.  35,  1913. 

Equipment  "A,"  "B,"  and  "C,"  see  Equipment. 

Field  training  and  practice  marches,  G.  0.  17,  1913. 

Quartermaster  supplies  for,  see  Quartermaster  Supplies. 

Staffs  of  commanding  generals  of,  G.  O's.  30,  37,  1913. 

Training  of,  G.  O's.  17,  41,  1913. 

See  also  Field  Service  Regulations;  Army  Regulations;  Tables  of  Organization; 
Manual  for  the  Medical  Department. 


APPENDIX.  347 

Morning  Reports: 

See  Records  and  Correspondence. 
Mosquitoes: 

Mineral  oil  for  destruction  of,  Cir.  23,  1901. 
Mounts,  Private: 

See  Private  Mounts. 
Muster  Rolls: 

See  Records  and  Correspondence. 
National  Red  Cross  Society: 

See  Red  Cross. 
Officers: 

Annual  physical  examinations  of,  see  Physical  Examinations. 
Annual  test  ride  of,  G.  O.  148,  1910. 

May  use  flat  saddle,  G.  O.  197,  1910. 

Of  the  permanent  staff  corps,  G.  O.  72,  1913;.  G.  O.  77,  1914. 

Arrival  in  the  United  States,  date  determined  by  date  of  dockage  of  the  trans- 
port, Gil-.  12,  1910. 

Baggage  of,  see  Officers'  Baggage. 

Death  of,  see  Deceased  Officers. 

Efficiency  records  of,  Bui.  15,  1914. 

Exandnation  for  promotion,  G.  O.  14,  1912;  Section  referring  to  medical  officers 
amended  by  G.  O.  86,  1914. 

Families  of,  on  Army  transports,  Bui.  10,  1916. 

Holding  office  under  Pliilippine  Government,  G.  O.  4,  1914. 

Insane,  accoimts  of,  Cir.  54,  1902. 

Ordered  to  Government  Hospital  do  not  receive  mileage,  Cir.  29,  1903, 

Leave  of  absence  from  the  Philippine  Islands,  G.  O.  48,  1907. 

Medical  Reserve  Corps,  see  Medical  Reserve  Corps. 

Messes,  clubs,  etc.,  G.  O.  54,  1909. 

Over-sea  travel,  meala  on  transports,  reimbursement  fur,  G.  O.  86,  1911. 


APPENDIX.  349 


O  flB  cers — Continued . 


Pay  accounts  of,  must  cover  whole  of  salary  for  one  or  more  calendar  months, 
G.  O.  62,  1901.  (See,  however,  Quarters,  (hinmutation  o/aud  Private  Mounts, 
Additional  pay  for.) 

Personal  effects,  transportation  of,  for  student  officers,  Bui.  4,  1916. 

Physical  examinations  of,  see  Physical  Examinations. 

Private  moimts  of,  see  Private  Mounts. 

Private  property  of,  shipped  on  Government  hill  of  lading,  Cir.  14,  1910. 

Special  passports  for  field  officers  only,  Cir.  67,  1905. 

Statement  of  preferences  and  other  sources  of  information  for  Secretary  of  War, 
Bui.  6,  1915. 

To  report  to  Commanding  General,  Western  Department,  on  arrival  in  San  Fran- 
cisco en  route  to  or  from  the  Philippine  Islands,  G.  O.  80,  1914;  Par.  IV,  G.  O. 
25,  1915. 

Use  of  outside  influence,  G.  O.  18,  1902;  G.  O.  31,  1913. 

When  requiring  use  of  transports  must  apply  for  transportation  immediately  upon 
receipt  of  order,  G.  O.  196,  1907. 

Officers'  Baggage: 

Allowance  of,  on  railroads  when  destined  over  sea,  Bui.  26,  1914. 

Articles  that  may  be  taken  within  50-pound  limit,  see  Fi^ld  Trains:  Loading 
Tables. 

How  packed  for  transportation  in  the  field,  G.  O.  201,  1905;  Cir.  42,  1906. 

Loading  tables,  see  Field  Trains. 

Officers'  Eiiuipment: 

Bedding  rolls  for  sale  to  officers,  Cir.  22,  1909. 

Canvas  bucket  and  basin  for  sale  to  officers,  G.  O.  136,  1911. 

Clothing  rolls  for  sale  to  officers,  Cir.  3,  1910. 

Field  glasses  may  be  piirchased  from  the  Signal  Corps,  G.  O.  178,  1910. 

Identification  tags,  see  Clothing  and  Equipment. 

Horse  equipment,  see  Officers'  Horse  Equipment. 

Russet  leather,  care  of,  see  Ordnance  Property. 

Sleeping  bags,  G.  0. 11, 1912. 

Trunk  locker  suitable  for,  see  Officers'  Baggage. 


^mT  ^i"::  :u' 


APPENDIX.  351 

Officers'  Horse  Equipment: 

Classification  of,  see  Ordnance  Property. 

Included  in  personal  baggage,  Cir.  47,  1909. 

Set  of,  what  constitutes,  G.  O.  24,  1914. 

To  be  issued  by  post  ordnance  officers,  G.  O.  25,  1912. 
Officers'  Private  Mounts: 

See  Private  Mounts. 
Olive  Drab  Cotton  Cloth: 

Dirertions  for  laundering,  see  Clothing  and  Equipment. 
Orders,  Bulletins,  and  Changes: 

Issue  and  presentation  of,  G.  O.  2:^1 ,  1910;  G.  O.  11,  1912;  Par.  II,  G.  O.  50,  1915. 
Ordnance  Property: 

Charged  on  muster  and  pay  rolls,  G.  O.  59,  1907. 

Classification  of,  Cir.  14,  1908;  Cir.  90,  1909. 

Reports  of  survey  on,  Cir.  92,  1908. 

Requisitions  for,  Cir.  87,  1907;  Cir.  16,  1910;  G.  O.  100,  1911;  G.  O.  15,  1912. 

Russet  leather,  care  of,  Cir.  23,  1910;  Bui.  10,  1912. 

Saddle  blankets,  care  of,  Cir.  47,  1909. 

See  also  Ordnance  Property  Regulations. 
Organized  Militia: 

Acts  to  promote  the  efficiency  of,  G.  O.  54,  1914. 

Ambulance  companies,  minimum  strength  of,  G.  O.  51,  1914. 

Expenses  of  inspecting  officers,  G.  O.  75,  1914. 

Field  hospitals,  minimiun  strength  of,  G.  O.  51,  1914. 

Medical  officers,  course  of  instruction  for.  Par.  II,  G.  O.  43,  1915;  G.  O.  9,  1916. 

See  also  War  Department  Regulations  for  the  Organized  Militia. 
Paratyphoid  Fever: 

Diagnosis  and  study  of,  Cir.  11,  Sixrgeon  General's  Office,  1913. 
Passports  for  Officers: 

See  Officers. 


APPENDIX.  353 

Paymasters'  Clerks: 

Have  the  same  status  as  officers  and  are  entitled  to  medical  attention  and  medi- 
cine, G.  O.  143,  1911. 

Pension  Examiners: 

Permitted  to  make  investigations  in  military  hospitals,  Bui.  47,  1914. 

Pliysical  Examinations: 

Applicants  for  enlistment. 

In  the  Regular  Army,  (Rules  for  the  Examination  of  Recruitg)  G.  O.  6(5,  19J0; 
Cir.  1,  Adjutant  General's  Office,  1915. 

In  the  Porto  Rico  Provisional  Regiment,  Cir.  39,  1906. 

Teeth  of,  requirements  concerning,  Oir.  60,  1906. 

Visual  requirements,  Cir.  26,  1909. 

See  also  Recruits.  • 

Aviation  service,  G.  O.  86,  1914;   G.  0.  20,  1915. 

Cadet  candidates,  Cir.  Adjutant  General's  Office,  Aug.  24,  1914. 

Candidates  for  commission  in  United  States  Army. 

Cavalry,  Field  Artillery,  Coast  Artillery,  and  Infantry,  Pars.  6,  10,  17,  and  31, 
G.  O.  64,  1915. 

Engineers,  G.  O.  8,  1916. 

Medical  Corps,  visual  requirements,  G.  0>  112,  1911. 

PhiUppine  Scouts,  G.  O.  195,  1908. 

Porto  Rico  Provisional  Regiment,  G.  O.  193,  1908. 

Candidates  for  commission  in  the  Volunteers,  G.  O.  57, 1909;  G.  O.  54, 1914;  G.  O. 
50,  1915. 

Officers. 

Annual,  G.  O.  148,  1910. 

For  Mounted  Service  School,  G.  O.  59.  1913. 

For  promotion,  see  Officers,  Examination  of  for  promotion. 

Physical  defects  to  be  reported  in  detail,  G.  O.  104,  1903. 
Post  noncommissioned  staff  officers,  G.  O.  43,  1909. 
Recruits  at  depots  and  posts,  G.  O.  154,  1905;  Cir.  15,  1907. 
Student  candidates  for  miUtary  instruction  camps,  Bui.  23,  1915, 


APPENDIX.  355 

Physical  Examinations — Continued . 

Venereal  inspections,  see  Venereal  Diseases,  Prevention  of. 

Vision,  color  sense  and  hearing,  methods  of  testing,  G.  O.  199,  1906. 
Physicians,  Civilian: 

See  Civilian  Physicians. 
Porto  Rico  Provisional  Regiment: 

Physical  requirements  for,  see  Physical  Exa^ninations. 
Post  Exchange: 

Regulations  for,  G.  O.  17fi,  1909,  with  amendments. 

Responsibility  of  Council,  Opinion  Judge  Advocate  General,  Bui.  9,  1915. 
Post  Noncommissioned  Staff: 

See  Enlisted  Men;  also  Physical  Examinations. 

Private  Mounts: 

Additional  pay  for,  where  pay  accounts  are  prepared  in  advance,  Ci.  O.  72,  1914; 
while  on  leave  of  absence  with  half  pay,  Bui.  I,  1916. 

Certificate  to  be  furnished  when  shipped,  G.  O.  181,  1910. 

Additional  when  shipped  to  Philippine  Islands,  Bui.  2,  1915. 

Descriptive  card  to  accompany,  when  shipped.  Par.  II,  G.  O.  6,  1915. 

Duties  of  conunanding  officers  regarding,  G.  O.  125,  1908;  G.  O.  9,  1916. 

Must  be  maintained  at  officer's  station,  Cir.  69,  1909. 

Must  be  used  in  annual  test  rides,  Cirs.  57,  59,  1909. 

Must  meet  specifications  or  no  forage  or  additional  pay  can  be  drawn,  Cir.  88, 1908. 

Salt  and  vinegar  for,  Cir.  33,  1909. 

Six  months  allowed  for  training,  G.  O.  34,  1914. 

Specifications  for,  G.  O.  29,  1911;  G.  O.  46,  1913;  G.  O.  33, 1914;  G.  O.  9,  1916. 

Stabling  for,  rent  of,  par.  9,  G.  O.  34,  1915. 

Stallions  as  mounts,  Cir.  78,  1910;  G.  O.  9,  1916. 

Transportation  of,  for  officers  attending  service  schools,  Bui.  4,  1916. 

Property: 

Of  retired  soldiers  who  die  in  Army  hospitals,  Bui.  46,  1914. 

Retained  papers,  disposition  of,  see  Records  and  Correspondence. 


APPENDIX.  357 

Property — rontinTipd . 

I'nit  accountability  for,  see  Equipment. 

See  also  Ordnance  Property  and  Quartermaster  Supplies. 
Public  Animals: 

Horses,  altering  shape  of  mane  or  tail  prohibited,  G.  O.  112,  1903. 

Mallein  test,  Oir.  74,  1909. 

Records  to  be  kept,  G.  O.  252.  1009;  Cir.  54,  1909;  Bui.  19,  191.'^;  Bui.  20,  1915. 
Quartermaster  Corps: 

Duties  of  the  several  grades  of  enli.''ted  men,  G.  O.  40,  1912. 

Quartermaster  Supplies: 

Equipment  Tables,  Q.  M.  Supplies,  1915,  G.  O.  39,  1915.     Title  authorized  Bui. 
35,  1915. 

Loading  tables,  see  Field  Trains. 

Loan  of,  prohibited,  Bui.  32,  1913. 

Method  of  marking  and  packing,  G.  O.  10,  1914.  ' 

Ovens,  field,  G.  O.  29,  1914. 

Pyramidal  tent,  method  of  folding,  Bui.  9,  1913. 

Table  ware  and  kitchen  utensils,  see  Clothing  and  Equipment. 

Transferred  with  enlisted  men,  G.  O.  65,  1915. 

Quarters: 

Commutation  of,  for  commissioned  officers,  acting  dental  surgeons,  pay  clerks 
Nurse  Corps,  G.  O.  35,  1915;  G.  O.  5,  1916. 

Where  accounts  are  prepared  in  advance,  G.  O.  72.  1914. 

Rental  of,  G.  O.  34,  1915. 

See  also  Enlisted  Men,  Contract  Surgeons,  and  Dental  Surgeons. 
Ral)ies: 

Treatment  of  suspected  ca.ses,  Cir.  9,  Surgeon  General's  Office,  1912, 
Railroads: 

Inferior  equipment,  Cir.  47,  1907. 

Kitchen  cars,  see  Kitchen  Cars. 

Land  grant  and  bond  aided,  G.  O.  41,  1907,  as  amended. 


APPENDIX.  359 

Rations: 

See  Subsistence  Stores. 
Records  and  Correspondence: 

Communications  sent  direct  to  The  Adjutant  General,  G.  O.  24,  1912. 

Correspondence  book  system  of  correspondence,  G.  O.  109,  1906;  Bui.  4,  1914. 

Devscriptive  lists  to  be  accompanied  by  authenticated  copies  of  summary  court 
trials  and  official  copies  of  sentence  by  other  courts,  G.  O.  137,  1909. 

Disposition  of  useless  records,  Bui.  8,  1916. 

Enlistment  papers  of  those  who  have  been  dishonorably  discharged  from  a  pre- 
vious enlistment,  G.  O.  78,  1914. 

Letters  and  indorsements,  G.  O.  23,  1912;  Bui.  24,  1912;  briefs  prohibited, 
G.  O.  53,  1913;  not  to  be  addressed  through  The  Adjutant  General,  Oir.  8,  1909. 

Morning  reports,  G.  O.  194,  1909. 

Muster  rolls,  corrections  of,  to  be  sent  direct  to  The  Adjutant  General,  G.  O.  24, 
1912;  separate  roll  required  for  each  company  of  the  Coast  Artillery  Corps, 
Cir.  3,  1903. 

Record  card  system  of  correspondence,  G.  O.  92,  1909,  Cir.  92,  1909. 

Retained  property  and  money  accounts,  disposition  of,  G.  O.  71,  1914. 

Telegrams,  addresses  to  be  used,  G.  O.  63,  1914. 

Telegraph,  instructions  for  use  of,  G.  O.  14,  1913. 

Typewriters,  use  of,  in  preparing,  Cir.  41,  1910. 
Recruit  Depots: 

Supplies  for,  see  Supplies. 
Recruits: 

Disinfection  of  clothing  of,  Cir.  37,  1906. 

Duties  of  boards  of  officers  when  convened  at  depots  and  posts,  Cir.  15,  1907. 

See  also  Applicants  for  Enlistment. 

Red  Cross: 

Geneva  Convention  of  1906,  and  Hague  Convention  of  1907,  Bui.  6,  1913;  also 
Rules  of  Land  Warfare. 

National  Red  Cross  Society,  regulations  for  and  organization  of  when  employed 
with  the  land  forces  of  the  TTnited  States.  G.  O.  170,  1911. 

Russet  Leatlier: 

Care  of,  see  Ordnance  Property. 


) 


APPENDIX.  361 

Saddle  Blankets: 

Care  of,  see  Ordnance  Properly. 
Salvarsau; 

Method  of  admiuistratioii,  Cir.  14,  S,  G.  O.,  1914. 
Sanitary  Units:    ' 

History  of  services  to  be  kept,  G.  O.  1,  1905. 
Shoes: 

See  Clothing  and  Equipment. 
Stables: 

Fires  in,  G.  O.  1,  1912. 
State  Department: 

Medical  officers  to  examiue  certain  candidates  for  appointment  in,  G.  O.  64, 1910. 
Steam  Heating  Plants: 

Care  of,  Cir.  1,  1902. 
Subsistence  Stores:  ^ 

Beef,  fresh,  instructions  for  inspection  of,  G.  O.  27,  1904;  G.  O.  28,  1906. 

Charged  against  enlisted  men,  Cir.  79,  1907. 

Rations,  savings  not  allowed  at  maneuver  camps.  Par.  II,  G.  O.  7,  1915. 
Supplies: 

For  general  hospitals,  G.  O.  11,  1912. 

For  recruit  depots,  G.  O.  11,  1912. 

See  also  Mobile  Army,  Quarterrnasler  Supplies,  and  Ordnance  Property, 
Surgical  Operations: 

Refusal  to  submit  to,  par.  220,  M.  M.  D.,  based  on  G.  O.  43,  1906. 
Surplus  Kits: 

See  Clothing  and  Equipment. 
Tableware  and  Kitchen  Utensils: 

See  "Clothing  order' '  under  Clothing  and  Equipment. 
Telegrams: 

See  Records  and  Correspondence. 


D 


APPENDIX.  3(33 

Transports: 

Liquors  not  allowod  on,  G.  O.  Ill,  1911. 

Meals  oil,  reimljtirsemeut  for,  see  Officers. 

Surgeons  to  go  on  hoard  with  first  troops,  (i.  O.  48,  1908. 

See  also  Army  Transport  Ser\dce  Regulations. 
Typhoid  Fever  and  Paratyphoid  Fever: 

Diagnosis  of,  Cir.  11,  Surgeon  General's  Office,  1913. 
Typhoid  Prophylaxis: 

Instructions  for  adniinistration  and  keeping  records  of,  Cir.  16,  Surgeon  General's 
Office,  1916. 

To  whom  administered  and  records  to  be  kept,  G.  O'e.  4,  23,  1915. 
Typhus  Fever: 

Diagnosis  and  prevention  of,  Bui.  10,  1916. 
Unit  Accountability: 

See  Equipment. 
Vaccination: 

Antismallpox,  G.  O.  30,  1914.     Method  prescribed,  Bui.  30,  1914. 

Antityphoid,  see  Typhoid  Prophylaxis. 
Venereal  Disease: 

Discharge  without  honor  because  of,  see  Discharge  of  Enlisted  Men. 

Loss  of  pay  because  of,  G.  O.  31,  1912;  G.  O.  13,  1913;  decision  regarding  mean- 
ing of  word  "misconduct,"  Bui.  43,  1914. 

Prevention  of,  G.  O.  17,  1912;  G.  O.  13,  1913. 
Vision  and  Hearing: 

See  Physical  Examinations. 
Visual  Acuity: 

Medical  reports  on,  Cir.  5,  1908. 
Volunteer  Forces: 

Act  concerning,  Bui.  17,  1914. 

Physical  examination  of  candidates  for  commission  in,  see  Physical  Examinations. 


INDEX. 

(Numbers  refer  to  paragraphs.) 


Abandonment  of  Posts : 

"l)isposition  of  medical  property  on,   511. 

Records   and   reports,   425. 
AbbreTiatlong : 

Field   supply    tables,    862. 

Register  of  dental  patients,  465. 
Aceonntabillty : 

Appliances  issued  to  discharged  patients, 
229. 

Army   Medical    School,   property,   141. 

Articles  destroyed  to  prevent  contagion, 
230. 

Hospital  fund,  252,  253,  260,  262. 

Medical  property,  229,  380,  501  to  503. 

Proceeds    of    sales    of    medical    property, 
509,    510. 

Public  property  brought  in   by  patients, 
227,  304. 

Returns  of  property,  141,  380,  497,  501, 
508. 
Accounts : 

Ho.spital  laundry,  271,  272,  274,  277,  278. 

Ice,  264. 

Mess,  234,  236,  237. 

Proceeds   of  sales  of   medicines   to   civil- 
ians, 243. 

Proceeds  of  sales  of  other  medical  prop- 
erty. 509,  510. 

Subsistence  charges,  etc..  Army  and  Navy 
General  Hospital,  330,  331. 

Subsistence    charges,    etc..    Fort    Bayard, 
339  to  342. 

Supplies  purchased,  377,  476. 

To  be  paid  by  disbursing  officers,  377. 
Acetylene  Chest: 

Contents  of,  927. 
Acting  Cooks: 

Provisions  concerning,   37,   38. 

See  also  Hospital  Corps. 
Acting  Dental  Snrgeons: 

General  provisions,  21  to  25. 

See  also  Dental  Corps. 
Acting  Hospital  Steirards: 

See  Hospital  Corps. 
Administration  of  the  Sanitary  SerTlce: 

Division,    716    to    750.       (See   also    Diri- 
sional  Sanitary  Service.) 

Objects  of,  530,  628. 

Resume  of,  in  war,  831  to  841. 
Administrative  Zones : 

In  time  of  war,  528.   529. 
Advance  Medical  Supply  Depot: 

Issues  from,   552,   7S9. 

Maximum  and  minimum  limits  of  stock, 
788. 

Operating  equipment.  895. 

93440°— 17 23 


Advance  Medical  Snpply  Depot — Continued. 

Purpose  of,  791. 

Records,   reports,   and  returns,   563,   575, 
788. 

Replenishment  of  issues,  789. 

Requisitions  from,  790. 

Shelter  for.  792. 

Supplies  to  be  kept  at,  788,  792. 
Advance  Medical  Snpply  Depot  Eqntpment: 

Operating  equipment,  792,  S95. 

Supplies  for  issue,  788,  792. 
Advertising : 

Hospital  laundry,  272,  273. 
Aid  Stations: 

Closing,   649,   650. 

Combination   with  dressing  station,   679. 

Defensive  engagements,  726. 

Diagnosis   tags   applied,    649. 

Duties  at,  642,  645,  647,  649,  650. 

Effects  of  patients,  649. 

Equipment    of,    how    carried,    633,    866 
notes,   867  notes,   868. 

Equipment   table,   866,   867. 

Establishment  of,  642,  645,  646. 

Evacuation  of,   642,  650,  655. 

Loading  tal)le  for  mule,  868. 

Location,  646. 

Moving,  649,   650. 

Number  to  be  opened,  645. 

Offensive  engagements,  727. 

Opening,  645,  740. 

Personnel,  647. 

Rear-guard  actions,  730,  739. 

Shelter,  646. 

Supplies  for,  866,  867. 

Transportation  of  wounded  to  and  from, 
642,  647,  650,  674,  679,  680. 

Ti-eatment  at,  character  of,  649. 

With  mounted  commands,  740. 
Aid,  Voluntary: 

Medical  Department  in  the  field,   535   to 
541,  819. 
Allowances,  Personal: 

Acting  dental  surgeons,  20. 

Candidates  for  Medical  Corps,  8. 

Civilian  employees,  103,  105  to  107,  117. 

Clothing,  Hospital  Corps,  47. 

Contract  surgeons,  53,   54. 

Dental  surgeons,  20. 

Hospital  matrons,  265  to  269. 

Hospital  stewards,  33. 

Medical  Corps,  2. 

Medical  Reserve  Corps,  8,  14. 

Militia  medical  officers  at   Army  Medical 
School.   145. 

Nurse  Corps,  56,  80  to  91.  90. 

365 


366 


INDEX. 


i,>  t.,.,l!.'4tf 


Ambulanre  Box  of  Food: 

Contonts  of,  947. 
Ambulance  Box  of  Surgiral  Dressings: 

Contents  of,  rtr>4. 
Ambulance  Companies,  Peace  Organization: 

Ccrtificat('s  of  proflcicncy  for  mou  uutkT 
instruction,   164,   165. 

Commanrlins  officer,  159,  160. 

Discipline,   160. 

Duties  of  permanent  personnel,  158. 

Instruction,  courses  of,  161  to  165. 

Law  autliorizing,  33. 

Organization,   158. 

Personnel,   158. 

Records  of  class  work,  163  to  165. 

Use  of,  in  instruction  of  Hospital  Corps. 
157. 

See  also  Hospital  Corps. 
Ambulance  Companies,  War  Organization: 

Commanding  officer,   534,  669. 

Designations,   667. 

Dressing  stations,  see  that  title. 

Duties,  general,  671   to  673. 

Duties,  in  camp,  672. 

Duties,  in  combat,  674  to  690. 

Duty,  to  furnish  supplies  during  combat, 
551,  633. 

Duty,  to  guard  field  hospitals,  550. 

Law  authorizing,  33. 

List  of  siclf  and  wounded,  562. 

Personnel,   670. 

Rear-guard  actions,  730,  739. 

Records,   reports,   and  returns,   562,   579, 
684. 

Report  after  each  engagement,  562. 

Senior  medical  officer's  title,  534. 

Station,  on  march,  637  to.  641,  673,  720. 

Supply  table,  874  to  877. 

Wagons,  station  of  in  combat,  685,  728. 

With   Cavalry  divisions,  741. 

See  also  Ambulance  Company  Equipment 
and  Dressing  stations. 
Ambulance  Company  Directors: 

General  provisions,  652  to  656. 

See    also    Directors    of   Am'bulance    Com- 
panies. 
Ambulance  Company  Equipment: 

Articles  liept  in  store,  S74. 

Articles  not  kept  in  store,  875. 

Articles    supplied    by    camp    quartermas- 
ter, 877. 

Cubic  measurements,  as  stored,  874. 

Loading  table  for  mules,  878. 

Rail  transportation  for,  876. 

Requisitions   for,   874,   875. 

Supply  table,  874,  875. 

Vehicles,  how  marked,  668. 

Weight,  as  stored,  874. 

Weight  for  pack  animals,  878. 
Ambulances: 

Marking  of,  668. 

Not  to  be  diverted  from  Medical  Dei)art- 
ment,  549. 

With  regiments  on  the  march,  637  to  640. 

See  also  Transportation. 
Ambulances,  Motor: 

For  camp  hospitals,  886. 


Ambulances,  Motor — Continued. 

For  evacuation  ambulance  companies,  806. 

For  evacuation   and   base   hospitals,   891. 
American  National  Red  Cross: 

See  Red  Cross. 
Analysis  of  Water: 

Provisions  concerning,  356  to  360. 
Antitoxins : 

At    depots    on    line    of    communications, 
891  note. 

Purchase  of,  843  note. 

Requisitions  for,  843  note. 
Apparatus : 

Compressed  air,  903. 

Improvement  of,   medical   officers  to  sug- 
gest, 474. 

Restraint,  904. 
.Vppliances : 

Improvement  of,   medical   officm-s  to  sug- 
gest, 474. 

Issues  and  sales  to  civilians,  242,  243. 

Issues   to  discliarged   patients,   229. 

Transferred   with   patients,   228. 
Applicants   for   Enlistment: 

Examination,  physical,  391. 

Identitication  record,  .■>92. 

Register  of  patients,  438. 
Appointments : 

Acting  dental  surgeons.  20  to  25. 

Civilian  employees,  103,  104,  106,  lOS  to 
111,  113,  114,  118. 

Civilian  employees.  Army  and  Navy  Gen- 
eral Hospital,  318. 

Contract  surgeons,  51  to  54. 

Dental  surgeons,  26  to  31. 

Medical  Corps,  2  to  9. 

Medical  Reserve  Corps,  8.  14  to  16. 

Nurse  Corps,  56,  57,  62  to  67. 

Sergeants  first  class.  Hospital  Corps,  34 
to  36. 

Sergeants,  Hospital  Corps,  34  to  36. 
Appropriations: 

"  Replacing   Medical    Supplier,"    510. 
Arms : 

Guards,  sanitary  formations,  550. 

Sick  on  the  march,  640. 

Wounded  on  the  field,  649. 
Army  and  Navy  General  Hospital,  Hot  Springs, 
Ark.: 

Administration,  318. 

Admissions,  320  to  327. 

Charges  for  subsistence,  328  to  332. 

Commutation  of  rations,  328. 

Discipline  of  patients,  333. 

Diseases  for  which  suitable,  319. 

Law  establishing,  317. 

Organization,  318. 

Reports  of  condition  of  patients,  287. 

Subsistence,  328  to  332. 
Army  Field  Service  and  Correspondence  Scliool 
for  Medical   Otliccrs  : 

Provisions  concerning,  147. 
Army  Medical  Hoard: 

Examinations    by,    candidates    for    Medi- 
cal Corps,  4,  6,  9. 

Law  cstablisliing,  2. 


INDEX. 


307 


Army  MedioHl  Miispum: 

General  provisions,  131,.  134,  135. 

Loan  of  specimens,  135. 

Method  of  transmitting  specimens,  135. 
Army  Medical  School: 

Adjutant,    138,   140. 

Administration,   139  to  141. 

Candidates  for  Medical  Corps,  to  attend, 
8,   143, 
'    Certificates  of  graduation,  143, 

Civilian  employees,  136, 

Commandant,  137,  138,  139, 

Course  of  instruction,  143,  144,  145,  146. 

Duties.  136. 

Enlisted  men,  H,  C,  136,  142,  146, 

Faculty.  138. 

Graduation,  143. 

Instructors.  136,  137. 

Medical  officers  of  the  Army,  142,  144. 

Medical  officers  of  the  Organized  Militia, 
142,  145, 

Personnel,   136. 

Professors,  136  to  138, 

Property  officer,  141, 

Records,  140. 

Reports,  annual,  139, 

Special  professors,  136,  137, 
Army  Transporti  Service: 

Duties    of    medical    superintendents    and 
surgeons,  381. 

Medical  superintendents,  reports  of,  424. 

Seamen  of,   in  Army   hospitals,   250. 

Surgeons,  ports  of  embarkation,  as  super- 
intendents. 610, 
Aspirating  Case: 

Contents  of.   910. 
Attending  Surgeons : 

Assignment,   375, 

Correspondence  record  and  document  file 
system,   402,   404, 

Duties  of,  375,  376. 
Antomobiles : 

Impressed,    for    evacuation    of    wounded, 
629,  823, 
Aviation  Service : 

Physical   examinations   for,   389,   395, 
Badge : 

Nurse  Corps,   93,  97, 
Bag,  Obstetrical: 

Contents  of,  905. 
Bands : 

Assignment  to  sanitary  service,  643. 
Base  Dental  Outfit: 

Contents  of,   855. 
Base  Hospital  Equipment: 

Ambulances,   motor,  891   note. 

Blank  forms,  891  note. 

Cubic   measurement  of   medical   supplies, 
891. 

Medical  supply  table,  891, 

Not  strictly  limited  to  supply  table,  859, 
889. 

Quartermaster  supply   table,   892. 

Weights,    891,    892. 
Base  Hospitals: 

Blanks  for,  891  note. 


Uase  Hospitals — -Continued. 

Closing.    76,5. 

Convali'scetit  camp  branches,  766. 

Designation  of,   758. 

Evacuation  of,   762. 

Function   of,    762. 

General    provisions    concerning,     757    to 
765. 

Location    of,    759. 

Not  strictly  limited  to  supply  table,  859, 
889. 

Number  to  be  established,  153,  759. 

Personnel  of,   700. 

Records  of  sick  and  wounded  at,  5T5. 

Regulations    for   interior    administration, 
761. 

Supplies  for,   891,   892. 

Surgeon,  base  group,  to  clear  before  bat- 
tle,   819. 

See  also  iJa.se  Hospital  E(iuipmcni. 
Base  Medical  Supply  Depot  Equipment: 

Operating  equipment,  suggestive,  894. 

Supplies  for  issue,  872,  893. 
Base  Medical  Supply  Depots: 

Blanks,  requisitions  for,  551. 

Commanding  officer,  duties,  782. 

Establishment   of,   782. 

General    provisions    concerning,    782    to 
786. 

Issues  from,   552. 

Operating  equipment,  894. 

Purchases    for,    786. 

Records,   reports,  and   returns,   563,   51Z,, 
782. 

Replenishment  of  issues,  783. 

Requisitions  for  supplies,  551,  783  to  785. 

Supplies,  maximum  and  minimum  list  of, 
782,   787. 

Supplies  to  be  kept  at,  782,  891. 

See    also    Medical    Supply    Depots     and 
Medical  Supply  Officers. 
Battle : 

See  Combat. 
Bayard,   Fort: 

See  Fort  Bayard  General  Hospital. 
Bed  Capacity: 

Amount  necessary  in  war,  152, 
Bedding: 

Care  of,  in  squad  rooms,  279. 

Care  of,  in  storerooms,  523. 

Care  of,  in  wards,  279. 

Disinfection  of,  in  wards,  279. 

Laundering  of,  266  to  278. 

Repair  of,   266,   267. 

L'se  of,  by  Hospital  Corps,  523. 
Bed  Linen: 

Disinfection   of,  279, 
Bed  Fans,  Box  of: 

Contents,  906. 
Belt,  Hospital  Corps: 

Contents  of,   907. 
Belt,  Medical  Officer's: 

Contents  of,  864. 

Instrument  case,  contents  of,  919. 

Medicine  case,  contents  of,  920. 


368 


INDEX. 


Bile  Hcdium: 

For  cultures,   191,  352. 
Births: 

Record  of,  on  reports  of  sick  and  wound- 
ed. 459. 

Reports  to  Director  of  Census,  401. 

Reports   to   municipal   and   State   healtli 
autlioritics,  401. 
Blankets : 

Airing  and  care  of,  279,  523. 

Disinfection  of,  279. 

Laundering  of,  266  to  278,  523. 
Blank  Forms: 

Adjutant   General's   Department,    list   of, 
962. 

Base  hospitals,  891  note. 

Division  surgeon's  emergency  supply,  885. 

Evacuation  hospitals,   891  note. 

Field  desks,  940,  941. 

Inspector   General's   Department,   list   of, 
965. 

Medical  Department,  list  of,  961. 

Ordnance  Department,  list  of,  964. 

Quartermaster  Corps,  list  of,  963. 

Requisitions  for,  960  to  965. 

Requisitions  for,  in  the  theater  of  oper- 
ations, 551. 
Blood : 

For  diagnostic  purposes,  191,  352. 
Boards  of  Health: 

To    be    notified    of    appearance    of    infec- 
tious disease,  203. 
Boards  of  ReTiew: 

Law  establishing,  2. 
Bonds : 

Contracts  for  laundry  work,  276. 
Books : 

Dental,  requisitions  for,  494. 

Medical,   bo.^  of,   908. 

Medical,   disposition,   on  abandonment   of 
posts,  511. 

Medical,  removal  from  hospital,  513. 
Bougies : 

Preservation  of,  525. 
Boxes : 

Bed  pans,  contents  of,  906. 

Books,    contents   of,    908. 

Food,  ambulance,  contents  of,  947. 

Food,   contents   of,   948. 

Pack  mule,  description  of,  909. 

Surgical    dressings,    ambulance,    contents 
of,  954. 

Surgical  dressings,  contents  of,  955. 
Boxes,  Packing: 

Field   supplies,   863. 

Water  for  analysis,  359. 
Brassards : 

Red  Cross  personnel,  536. 

Sanitary  service,  542  to  544. 
Brigades : 

Duties  of  senior  medical  olEcer,  603,  7-1."). 
Buildings,  Hospital: 

I'rovisions  concerning,  245,  246. 

See  also  Hospital  Buildimjs. 


fadets  and  Cadet  Candidates: 

Examinations,  physical,  382,  383. 

Subsistence    charges    at    the    Army    and 
Navy  fleneral  Hospital,  330. 
Camp  Hospital  Equipment: 

Ambulances,  motor,  not  included  in  ship- 
ping weight,  886  note. 

Ambulances,  motor,  not  kept  in  store,  886 
note. 

Articles   furnished   by    camp   quartermas- 
ter, 888. 

Cubic  measurements,  886. 

Field    hospital    equipment    as    a    nucleus, 
604,  886. 

Not  strictly  limited  to  supply  table,  604, 
859. 

Recruiting  outfit  for,  887. 

Regimental     hospital     equipment     as     a 
nucleus,  604,  886. 

Supply  table,  886. 

Weights,  886. 
Camp  Hospitals: 

For  concentration  camps,  600. 

For  mobilization  camps,  596. 

General  provisions,   602  to  605. 

Not  strictly  limited  to  supply  table,  859. 

Records   of  sick  and   wounded,   427,  575, 
583. 

Transfer  of  patients  from,  583. 
Camp  Infirmaries : 

Assignment  of,  659. 

Command  of,  656,  659,  663. 

Designation  of,  661. 

Dispensary  service  for  regimental  organi- 
zations, 633. 

Duty  to  furnish  supplies  in  combat,  551, 
633. 

Evacuation  of,  672. 

Forage  for  animals,  660,  870  note. 

Function  of,   662. 

In  combat,  possible  use  of,  666. 

Number  allowed,  657,  658. 

Personnel  of,  659.  660. 

Property,  accountability  for,  659,  664. 

Rations  for  personnel,  660. 

Service  of,  663,  665. 

Shelter  and  camp  supplies  for,  870  note. 

Station  on  the  march,  723,  724. 

With  mobilized  divisions,  658. 

With  regiments,  657. 
Camp  Infirmary  Equipment : 

Accountability  for,  659,  664. 

Articles  kept  in  store,  869. 

Articles  not  kept  in  store,   870. 

Camp  infirmary  reserve,  871. 

Cubic  space  occupied,  869. 

Distribution    of,    in    time    of    peace,    501 
to  506. 

For  station  for  slightly  wounded,  666. 

Supply   table,    869.   870. 

Wagon,  how  marked,  661. 

Weight  carried  by  wagon,  873. 

Weight  of,  as  stored,  869. 
Camp  Infirmary  Reserve : 

Cubic   space   iiccupied,   871. 

Loading  table,   873. 


INDEX. 


369 


Camp  Infirmary  Reserve — Continued. 

Supply   table,  871. 

Weight  of.   871. 
When   furnished,  871. 
Camps : 

Casual,   773.      (See  also   Casual  Camps.) 

Concentration,    598    to    601.       (See    also 
Concentration  Camps.) 

Convalescent,   607,   608.      (See  also   Con- 
valesnent   Camps.) 

Hospitals  for,  596,  600,  60.S. 

Medical  service  of,  593  to  597,  599  to  601. 

Mobilization,  592  to  597.      (See  also  J/o- 
bili::a1ion    Camps.) 
Camp  Surgeons: 

Concentration  camps,   599  to  601. 

Mobilization  camps,  593  to  595,  597. 

To  report  deficiencies  in  eriuipment,  etc.. 
832. 
Candidates  for  Commission: 

Examinations,  physical,  384,  385. 

Medical  Corps,  2  to  9,  142,  143. 

See    also    Dental    Corps,    Medical    Corps, 
and  Medical  Reserve  Corps. 
Canvas  for  Litters: 

Washing  and  replacing,   526. 
Cases,  Contents  of: 

Accessory,  microscopical,  950. 

Aspirating,   910. 

Dental,   post,   911. 

Ear,  nose,  and  throat,  912. 

Emergency,  913. 

Eye,  914. 

Forceps,  hemostatic,  915. 

General  operating,  916. 

Genito-urinary,  917. 

Gynecological,   918. 

Hemostatic  forceps,  915. 

Instrument,  medical  officer's  belt,  919. 

Medicine,  medical  officer's  belt,  920. 

Microscopical,  accessory,  950. 

Microscopical     supplies,     supplementary, 
921. 

Operating,  general,  916. 

Operating,  small,  922. 

Pocket,  923. 

Post-mortem,   924. 

Small  operating,  922. 

Tooth-extracting.  925. 

Trial  lenses,  926. 
Casnal  Camps  for  Sanitary  Troops: 

Establishment  and   functions  of,  773. 

Line  of  communications  unit,  756. 

Relation   to  Medical   Department   organi- 
zation  in  campaign,    586. 
Casualties  in  Action: 

Estimate  of,  152. 
Catalo^e  Index: 

Library,   Surgeon  General's  Office,  132. 
Catlieters : 

Preservation  of,  525. 
Cautery,  Paqnelin's : 

Contents  of,  957. 
Cavalry  Division: 

Sanitary  service  of,  741,  742. 


Cavities  In  Teeth: 

Classification  of,  471. 
Cerebrospinal  Meningitis : 

Report  of  appearance  of,  201. 
Certificates : 

Graduation    from   Army    Medical    School, 
143. 

Identity,  542  to  544. 

Identity,  for  Red  Cross  personnel,  536. 

I'roflciency,    Army    Medical    School,    144, 
145,   146. 

Proficiency,    Hospital     Corps,     146,     104, 
105,   178. 
Change  of  Diagnosig  Cards: 

Provisions  concerning,  209,  211,  212,  213. 
Chests,  Contents  of: 

Acetylene,  927. 

Commode,  928. 

Cooking  utensils,  929. 

Field   laboratory   No.    1,   930. 

Field  laboratory  No.  2,  931. 

Medical   and  surgical,   932. 

Medical  and  surgical,  supplementary,  933. 

Mess,  934. 

Sterilizer,  935. 

Supplementary,  933. 

Tableware,  936. 

Tool  No.  1,  937. 

Tool  No.  2,  938. 
Chief  Tfnrses: 

Assistants,  315. 

Duties  of,  311. 

General  provisions  concerning,  58  to  61. 

Law  authorizing,  56. 

Pay,  78,  79. 

Quarters,  80. 

Rations,  SI. 

To  prepare  efficiency  reports,  99. 

See  also  Xiirse  Corps. 
Chief  Surgeon,  Field  Army: 

Duties,  general,  828  to  830. 

Duty  to  act  as  surgeon,  base  group,  when, 
829. 

Equipment  of  office,  901. 

Report    on    campaign,    at    conclusion    of, 
561. 

Supplies  to  be  kept  on  line  of  communi- 
cations, 782,  830. 

Title,  534. 

Voluntary    aid,    individual,    may    accept, 
537. 
Civilian  Employees: 

Allowances  of,  103,  105  to  107,  117,  289. 

Appointment  of,   103  to  106,  108  to  111, 
113,  114,  118,  318. 

Army    and    Navy    General    Hospital,    ap- 
pointment and  discharge,  318. 

Assignment,    103,    113. 

Changes  of  station  and  status,  118,  119. 

Classified,  102,  113,  116,  117. 

Death  of,  118,  130,  218,  219,  226,  459. 

Depot  and  office  employees,  108  to  117. 

Discharge   of,    105,    106,    110,    113,    115, 
116,   118,  126,  318. 

Efficiency  reports  of,  120  to  128. 


370 


INDEX. 


Civilian  Employees — Continued. 

Employment  by  surgeon,  base  group,  810. 
Expenses  in  changing  station,  117. 
Expenses  proceeding  to  place  of  employ 

nient.    lO:^. 
Hospital  employees,  104  to  107,  290,  318. 
In  general  hospitals,  290. 
Injuries  of,  130. 

Issues  and  sales  to,  of  appliances,  dress- 
ings, medicines,  etc.,  242  to  244. 
Laborers,  unskilled,  103,  108  to  112. 
Labor  regulations,  108,  109,  111. 
Leaves  of  absence,   129. 
Number  allowed,  104,  110,  113. 
Pay,  103,  105,  106,  110,  113,  117. 
Post    exchanges,     medical    and    hospital 

care,  346. 
Prescriptions  for,  to  be  kept  on  separate 

file,  240. 
Promotion  of,  113  to  118,  125. 
Qualifications  of,  103,  104,  109,  113,  114. 
Quarters   of,    103,    107. 
Rations  of,   105,   106. 
Reduction  of,  105,  106,   110,  113,  116  to 

118,   126. 
Sanitary  squads,    775. 
Subsistence,  103,  105,  106. 
Subsistence  charge  at  Fort  Bayard,   341. 
Suspensions,  116. 
Transfers,  113,  117,  118,  119. 
Transportation  and  expenses,  103,  117. 
Vaccination   of,   186. 
i'Uilian  Hospitals: 

Employment  of,  to  clear  field  hospitals  on 
the  march,  700. 
Civilian  Pliysicians: 

Practicing  on  military  reservations,  348, 

349. 
Red  Cross,  536. 

Volunteers  for  field  service,  537  to  541. 
Civilians : 

Care  of,  at  Fort  Bayard,  341,  342. 
Issues  and  sales  to.  of  appliances,  dress- 
ings, medicines,  etc.,  242  to  244. 
On  register  of  patients,  438. 
Physical   examination   of,   preparatory   to 

field    service,    589. 
Reports  of  sick  and  wounded,  data  con- 
cerning,  459. 
See   also  Inhabitants  of  Occupied   Terri- 
torij. 
Clvll-SerTice  Rules: 

Application    to    appointment    of    civilian 
employees,  108,  113,  114. 
Cleaning:  Mixtures: 

Issue    of    medical    property    for,    prohib- 
ited, 518. 
Clerks : 

Civilian,  103,  108,  113,  117. 
See  also  Civilian  Employees. 
Clinical   Records : 

Brief  used  as  admission  card,   iV9. 
Disposition  of,  211,  279. 
Files  for,  844. 
General   hospitals,   29.'?. 
General  provisions,  407  to  41 1 


Clinical  Records — Continued. 

List  of  blanks,  961. 

Patients  transferred  from  ward  to  ward 

211,  408. 
Patients  transferred  to  general  hospital 
215. 
Clinical  Tliermometers : 

Requisitions  for,  845  note. 
Clothing: 

Disinfection  or  destruction  of,  222    230 

279. 
Hospital  Corps,  allowances,  47,  865. 
Hospital   Corps,  white  duck,  to  be  worn 

when,  47. 
Hospital,  repair  of,  266,  269. 
Hospital,  to  be  marked  as  hospital  prop- 
erty, 228. 
Hospital,  to  be  worn  by  patients,  228. 
Laundering  of,  belonging  to  enlisted  at- 
tendants in  hospital,  47,  266  to  278. 
Laundering  of.  belonging  to  Medical  De- 
partment, 266  to  278. 
Laundering  of,  belonging  to  patients,  222, 

266  to  278. 
Laundering  of,  uniforms  of  Nurse  Corps, 

96,  266  to  278. 
Repair  of,  Medical  Department,  266. 
Coal : 

Requisitions  for,  486. 
Color  Sense : 

Examinations  for,  397. 
Combat : 
Aid  stations,  642,  645  to  650. 
Ambulance   companies,   function   of,   671, 

674  to  690. 
Bands,  assistance  of,  643. 
Base  hospitals  in,  759. 
Camp  infirmaries  in,  666. 
Care   of   wounded    devolves   on   sanitary 

troops,    644. 
Diagnosis  tags,  use  of,  567  to  574. 
Director  of  ambulance  companies,  duties, 

655. 
Director  of  field  hospitals,  692,  694. 
Divisional  sanitary  service  in,  724  to  742. 
Division  surgeon,   duties  concerning,  724 

to  742,  744. 
Dressing  stations,   establishment  of,   674 

1o  684,  690. 
Evacuation    ambulance    companies    func- 
tion of,  807,  809  to  812. 
Evacuation    hospitals,    function    of,    795, 

798,  801. 
Field  hospitals,  function  of,  699.  701  to 

709. 
First-aid  packets,  use  of,  644. 
Objects  of  Medical   Department  in,   530, 

531,  628,  029,   754. 
Regimental  medical  service  of,  642  to  650. 
Replenisliijicnt   of  supplies,  551,  633. 
Reports   and   returns   after   each   engage- 
ment,  55S,   562,   567   to  574,   579. 
Stations  for  slightly  wounded,  711  to  715. 
Supplies  for  troops  on  the  line,  replenish- 
ment of,  551,  033. 


INDEX. 


371 


Combat — Continued. 

Surgeon,    advance   Kroup,    duties   of,    Hl'2 
to  825. 

SurKt'on,  base  group,  duties  of,  819. 
Combat  Etiuipmcnt,  Regimental: 

Table  of,  80(j,  807. 

See  also  Rei/iiiwntal  Combat   Equipment. 
Commode  Chest: 

Oouteuls   of,   928. 
Commutation  of  Rations: 

.\rm.v  and  Navy  General  Hospital,  328. 

Hospital   matrons,  205. 

Nurse  Corps,  81,  282,  248. 

I'atients  in  hospital,  232,  248. 

See   also   Rations   in   Kind   and    Suhsist- 
encc. 
Complications : 

Record  of,  on  register  of  patients  and  re- 
ports of  sick  and  -wounded,  449,  462. 
Compressed-Air  Apparatus : 

Contents  of,  903. 
Concentration  Camps: 

Camp  hospitals  for,  600. 

Definition  of,  598. 

Equipment  of  troops  at,  599. 

Instruction  at.  599. 

Physical  examinations  at,  599. 

Sanitary  service  at,  control  of,  599. 

Sick  call,  supplies  for,  601. 

Surgeons  of,  599. 

Vaccinations  at,  599. 
Contagious  Disease  Hospitals: 

In  the  field,  586,  756,  767,  768. 

Records  of  sick  and  wounded  at,  575. 
Contagious  Diseases: 

Boards  of  health  to  be  notified  of  appear- 
ance, 203. 

See  also  Z>i.sea«(S,  Infectious. 
Contract  Dental  Surgeons : 

General  .provisions,  21  to  25. 

See  also  Dental  Corps. 
Contracts : 

Bonds    for    contracts    for    laundry    work, 
276. 

Laundry  work,  274  to  276. 
Contract  Surgeons: 

Allowances  of,  53,  54. 

Ann>ilm('nt  of  contracts,  52,  53. 

Appointment,  14,  51  to  54. 

Compensation,  51  to  54. 

Contracts  with,  52  to  54. 

Deaths  of,  reports,  219. 

Discharge  of,  52,  53. 

Duties,  53,  54. 

Employment  of,  by  surgeon,  base  group, 
819. 

Enlistments  not  to  be  made  by,  40. 

Examinations  for  em-ployment  as,  53. 

Expenses  of  applicants,  53. 

Law  authorizing  employment,  51. 

Number  allowed,  51. 

Pay,  51,  52. 

Personal  reports,  55. 

Qualifications  for  employment,  53. 

Quarters,  53,  54. 


Contributions,  Voluntary: 

Surgeon,    base   group,    may    receive,    etc., 
819. 
CouTalescent  Camps: 

Branches  of  general  hospitals,   289,  766. 

Establishment  of,   766. 

Line  of  communications  unit,  756. 

Records  of  sick  and  wounded  of,  608. 

Relation    to    Medical    Department   organi- 
zation in  campaign,  58(;. 
Cooking  Utensils,  Chest  of: 

Contents,  929. 
Cooks,  Acting: 

General  provisions,  37,  38. 

See   also   Hospital  Corps. 
Cooks,  Hospital: 

Civilian,   103   to  106. 

Gratuities   to,  255. 

Volunteer,  for  field  service,  537  to  541. 

See   also   Acting   Cookif. 
Corporals,  Hospital  Corps: 

General   provisions,   39. 

See  also  Hospital   Corps. 
Correction  Cards: 

Reports  of  sick  and  wounded,  463,  464. 
Correspondence : 

Attending  surgeons,  404. 

Books,   405,    962. 

Channels  in  the  field,  557,  744,  828. 

Convalescent   camps,    607. 

Correspondence  book  system,  403. 

Department  surgeons,  369,  402. 

Directors    of    field    hospitals    and    ambu- 
lance companies,   652,  692. 

Disposition    of    retained    records    In    the 
field,  566. 

General   hospitals,   402. 

General  orders  governing,  406. 

Hospitals,  403. 

Indelible  pencil  may  be  used  in  the  field, 
565. 

In  the  field  in  time  of  war,  556,  557,  560, 
564  to  566. 

Line  of  communications,  557. 

Medical  supply  depots,  402. 

Mobilization  camps,   595. 

Mobilized   divisions,    557. 

Record  card  system,  402,  405. 

Records  of,  402  to  406. 
Correspondence  School: 

For   medical   officers,   147. 
Cosmetics : 

Issuf  of  medical  property  for,  prohibited, 
518. 
Crate,  Field  Laboratory: 

Contents  of,  939. 

Crutches : 

Transfer  of,  with  patients,  228. 

Curtains,  Window: 

Requisitions  for,  845  note. 

Dead : 

Diagnosis  tags  applied  to,-  558,  567.  570. 
Disposition   of.  279,   300. 
Effects  of  deceased  patients   in   hospital, 
225,  226. 


372 


INDEX. 


Deaths : 

Acting  dental  surgeons,  reports  of,  219. 

Civilian  employees,  reports  of,  118,  130, 
218. 

Contract  surgeons,  reports  of,  219. 

Dental  surgeons,  reports  of,  219. 

Enlisted  men,  reports  of,' 218. 

Hospital  Corps,  reports  of,  45. 

Medical  olBcers,  reports  of,  219. 

Nurses,  reports  of,  100. 

Officers,  reports  of,  218,  219. 

Tatients'  effects,  disposal  of,  225,  226. 

Patients   en   route,   584. 

Record  of,   on  list  of  sick  and  wounded, 
576. 

Record   of,   on   register   of  patients,   428, 
450. 

Record     of,     on     reports     of     sick     and 
wounded,  401,  459. 

Reports  to  Boards  of  Health,  401. 

Reports  to  Director  of  Census,  401. 

Sergeants  first  class,  Hospital  Corps,  re- 
ports of,  219. 
Uental  Assistant: 

Provisions  concerning,  42. 

Dental  Case: 

Contents  of,   911. 

Dental  Cases: 

Record  of,  on  register  of  patients,  4.30. 

Deutal  Corp?: 

Allowances,   20. 

Appointments,  acting  dental  surgeons,  20 
to  25. 

Appointments,  dental  surgeons,  20,  26  to 
31. 

Authority  of,  20. 

Contracts,  acting  dental  surgeons,  25. 

Deaths,  reports  of,  218,  219. 

Discharge,  acting  dental  surgeons,  25. 

Enlisted   assistant,   42. 

Examinations  for  appointment,  22  to  24, 
25  to  30. 

Expenses  of  candidates,  21. 

Grades  in,  20. 

Law  establishing,  20. 

Number  allowed,   20. 

Part  of  Medical  Department,  1,  20,  533. 

I'ay,  20. 

Personal  reports,   32. 

Promotion,   26. 

Rank  of  dental  surgeons,  20. 

Retirement.  20. 

Status,  acting  dental  surgeons,  20. 

See  also  Dentists. 
Dental   Patients: 

Register  of,  465  to  472. 
Denial  Property: 

Returns  of,  508. 

Dental  Supplies: 

Accomitablllty  for,  501  to  503. 

Articles  furnished  by  surgeons,  491,  852. 

Expendable    articles    estimated    for    six 

months,    651. 
General  provisions,  849  to  853. 


Dental  Supplies — Continued. 

Plate  work,  853. 

Requisitions  for,  491  to  495,  853. 
Supply  table,  854  to  856. 
Dental  Supply  Table : 

Additional  supplies,  856, 
Base  outfit,  855. 
Portable  outfit,  854. 
Dental  Surgeons: 

General  provisions,  20  to  32. 
See  also  Dental  Corps. 
Dental  Work: 

Reports  of,  473. 
Dentists : 

Accountability  for  medical  jjroperty,  501 

to  503. 
Issues  of  post  supplies  to,  491,  852. 
Returns  of  medical  property,  507,  508. 
See  also  Dental  Corps. 
Department  Hospitals: 

Provisions  concerning,  282. 
See  also  Oeneral  Hospitals  and  Hospital 
Service. 
Department  Laboratories : 

Containers  for  specimens,  355. 
Material  for  identification,  353. 
Packages  sent  by  mail,  355. 
I'urpose  of,  851. 

Secretions,  excretions,  and  tissues,  352. 
Special  media  supplied,  354. 
Water,  356  to  360. 
Department  Sanitary  Inspectors: 
Duties  of,  371. 
Inspections  by,  372  to  374, 
Reports,  372  to  374. 
Department  Surgeons: 

Correspondence,  record,  and  document  sys- 
tem, 369,  402. 
Duties  of,  364  to  370. 
Hospital  fund,  duties  re.specting,  257,  260. 
Instruction,    Hospital    Corps,    duties    re- 
specting,  176. 
Laundry  of  hospitals,  authority  over,  269. 
Mobilization    camps,    to    furnish    program 

for  instruction,   594. 
Nurses,  transfer  of,  77. 
Provision  of  camp  hospitals,  603. 
Reports  and  papers,  368  to  370. 
Reports,  annual.  370. 

Reports  of  sick  and  wounded,  duties  re- 
specting, 461. 
Reports    of    surgical    operations    consoli- 
dated, 420. 
Requisitions  for  supplies,  action  on,  481, 

487,  489,  492. 
Sanitary  inspector,  assistant  to,  371. 

Deposits : 

Proceeds  of  sales  of  medicines  to  civilians, 

24.3. 
Proceeds  of  sales  of  other  medical  prop- 
erty, 500. 
Depots,  Medical  Supply: 

See  Adrancc  Medical  Supplu  Depots,  nasc 
Medical  Supply  Depots,  and  Medical 
Supply  Depots. 


INDEX. 


373 


Descriptive  and  Aggignment  Cards: 

Copies  of.  to  be  forwarded  to  the  Sur- 
geon General  in  cases  of  men  trans- 
ferred to  the  Hospital  Corps,  41. 

Medical    property    in    possession    of    men 
transferred,  to  be  noted  on,  49. 
DescrlptlTB  Lists: 

Camp  inflrmarj-  personnel,  659. 

Copies  of,  to  be  forwarded  to  the  Surgeon 
General,  in  cases  of  men  transferred 
to  the  Hospital  Corps,  41. 

Medical  property  in  possession  of  men 
transferred,  to  be  noted  on,  49. 

Proficiency  of  Hospital  Corps  men  trans- 
ferred, to  be  noted  on,  46,  179. 
Deserters : 

Effects  of  patients  who  desert,  225. 

Physical  examinations  of,  393. 
Desertions: 

Hospital  Corps,  reports  of,  45. 

Record  of  admission  from,  on  register  of 
patients,  445. 

Record  of,  on  register  of  patients,  450. 
Desks,  Field: 

Contents  of  No.  1,  940. 

Contents  of  No.  2,  941. 
Diagnosis : 

"Change  of  diagnosis"  cards,  211,  212, 
218. 

Change  of,  entry  as  to  line  of  duty,  449. 

Change  of,  upon  admission  of  patients  by 
transfer,  446. 

Changes  of,  on  register,  to  be  reported  to 
Surgeon  General  for  correction  of  re- 
port cards,  462. 

Nomenclature  to  be  used  in  recording, 
555,  556. 

Record  of,  on  register,  alterations  in,  4."6. 

Record  of,  on  register  of  dental  patients, 
472. 

Record   of,   on  register  of   patients,   446, 
455,  456. 
Diagnosis  Tags : 

General  provisions  concerning,  558,  567 
to  574. 

Use  of,  at  aid  stations,   649. 

Use  of,  at  dressing  stations,  684. 

Use  of,  at  stations  for  slightly  wounded, 
713. 

Use  of,  on  the  march,  639. 
Diet  Cards: 

Use  of,  235. 
Diet  Kitchens: 

Provisions  concerning.   239. 

See   also   Mess  Management. 
Diet  of  SIek: 

See  Mess  Management. 
Diphtheria : 

Antidiphtheritic  serum,  procurement  of. 
843  note,  879,  891   note. 

Report  of  appearance  of,  201. 
Director  of  the  Census: 

Reports   of  births   and  deaths   to,   401. 
Directors  of  .imbulanee  Companies: 

Command   camp   infirmaries,   656. 

Duties,  general,   652,  653,  656. 


Directors  of  Ambniance  Companies — Continued. 

Duties  in  combat,  055,  676. 

Duties  on  the  march,  639,  654. 

Records   and  files,  652. 

Relation   to   organization  of   Medical   de- 
partment in  campaign,   586. 

Station  on  the  march.  654. 

With  cavalry  divisions,  742. 
Directors  of  Field  Hospitals: 

Duties,  general,  692  to  694. 

Duties  in  coml)at,  692  to  694,  701. 

Records  and  files  of,  692. 

Relation   to  organization  of   Medieal   De- 
partment in  campaign,  586. 

Station  on  tlie  march,  693. 
Directory  of  Medical  Personnel: 

To  be  kept  by  department  surgeons,  369. 
Disbursements : 

Hospital   fund,   division   surgeons   to   au- 
dit, 365. 

Mess  bills  to  be  settled  promptly,  234. 
Disbursing  Officers: 

Duties  of,   877  to  379. 

Proceeds    of   sales,    how    to   account    for, 
509,  510. 
Discharged  Soldiers; 

At    Army    and    Navy    General    Hospital, 
327,   329. 

At  Fort  Bayard,  335,  357. 

On  register  of  patients,  438. 
Discharges : 

Acting  dental  surgeons,  22. 

Civilian    employees,    105,    106,    110,    113, 
115,  116,  118,  126. 

Civilian  employees.  Army  and  Navy  Gen- 
eral Hospital,  318. 

Contract  Surgeons,   52,   53. 

Enlisted    men,    for    refusal    of    surgical 
treatment,  220. 

Enlisted  men,  physical  examinations  for, 
894. 

Hospital  Corps,  reports  of,  45. 

Hospital   matrons,   268. 

Medical  Corps,  2. 

Medical  Reserve  Corps,  8,  14,  143. 

Nurse  Corps,  56,  57,  60,  68  to  73,  86,  100. 

Record   of,   on   register  of  patients,    427, 
431,  450. 

Students   at   Army    Medical    School,    143, 
145. 
Discipline  of  Patients: 

At  Army  and  Navy  Gener.il  Hospital,  333. 

At   Fort   Bayard,    344. 

In  hospital  wards,  279. 
Diseases : 

Nomenclature,  dental,  470. 

Nomenclature,    general,   455. 

To   be   treated   at   Army  and  Navy   Gen- 
eral Hospital,  319. 
Diseases,  Epidemic: 

Duty  of  civilian  practitioner  on  military 
reservation  respecting,   348,   349. 

Reports  of,   201    to  203. 
Diseases,  Infections : 

Civilian    physician    discovering,    duty   re- 
specting, 348,   349. 


374 


INDEX. 


Diseases,  Infectioas — Continued. 

Examinations  of  porsounel  for,  before  go-. 

ing  on  field  service,  589,  594. 
General  provisions,  188  to  200. 
Malarial   fever,   195  to  197. 
Paratyphoid  fever,  184  to  191. 
Reports  of,  201  to  203. 
Smallpox,  192  to  194. 
Syphilis,  200. 

Typhoid  fever,  184  to  191. 
Venereal  diseases,   198  to  200. 
Disinfection : 

Bed  liueu,   279. 
Beds,  279. 
Clothing,  230,  279. 
Rooms,  St3  note. 
Dismissal : 

liocord   of,   on   register   of   patients,   431, 
4.50. 
Dispensary  Management : 

Provisions  concerning,  240  to  244. 
Dispensing  Set: 

Bottles  and   jars   of,   942. 
Distribution  of  Field  Supplies: 

Regimental,  for  field  operations,  632,  633. 
Regimental,  in  time  of  peace,  504  to  506. 
Distribution  of  Sanitary  Troops: 
Of   division,    716   to   742. 
Of  Medical  Department  in  campaign,  572. 
DiTisional  Sanitary  Service,  Administration  of: 
Ambulance  companies  on  the  march,  721. 
Battle  order,  732  to  739. 
Camp  infirmaries  on  the  march,  723,  724. 
Cavalry  division,  741,  742. 
Defensive  engagements,  726,  736. 
Division  surgeon's  orders,  732,  735,   738. 
Information       required      by       combatant 

troops,  733,  735. 
Information   required  by   regimental   sur- 
geons, 734,  735. 
Offensive  engagements,  727  to  729,  737. 
Rear-guard  actions,  730,  739. 
Rencontre  engagements,   731. 
Sanitary  train,  control  of,  717  to  720. 
Sanitary  train  in  camp,  719. 
Sanitary  train  in  combat,  725,  726. 
Sanitary  train  on  the  march,  718,  720  to 

724. 
See  also  Division  Surgeons  and  Division 
Sanilary  Iiisiirclors. 
Division  Sanitary  Inspectors: 

Asshstant  to  division  surgeon,  740. 
Duties  of,   746   to   750. 
May  be  authorized  to  correct  defects  di- 
rect,  749. 
Reports   of,    747,   748. 
Sanitary  squads,  750. 
Divisions,  Tactical: 

Administration   of   sanitary   service,    710 

to  742. 
Reserve  supplies  for,  890,  891. 
See  also  Diris-ional  Hunitarti  Service,  Di- 
tnsion    S<initnrii   Inspectors,  and   Diri- 
sion  Suri/cons. 
Division  SuD^eons: 

Correspondence   records  and   paper  work, 
557,  560,  744. 


Division  Surgeons — Continued. 

Diagnosis  tags,  disposition  of,  573. 

Duties,  general,   743,  744. 

Duties  in  combat,  725  to  742. 

Duties  on  march,  720  to  724. 

E(juipmcut  of   office,   884. 

Field  hospitals,  duties  in  respect  to  estat>- 

lishment   of,    701,    702. 
List  of  sick  and  wounded,  578. 
Paper  work,  method  of  conducting,  560, 

744. 
Provision  of  camp  hospitals,  603. 
Red  Cross  units,  command  of,  743. 
Reports   on   campaign,    at    conclusion    of, 

561. 
Reports  to  chief  surgeon,  field  army,  744. 
Report  to  division  commander  after  each 

engagement,  744. 
Requisitions  from  divisional  units,  action 

on,  552. 
Sanitary  inspections,  744. 
Sanitary    train,    control    of,    716    to    724, 

743. 
Station  on  march,  744. 
Title,  534. 
Transfer    of    supplies    between    sanitary 

formations,  551. 
Voluntary    aid,    individual,    may    accept, 

537. 
See  also  Divisional  Sanitary  Service. 
DlTlsIon  Surgeon's  Office  Equipment: 
Blank  forms,  emergency  supply,  885. 
Cubic  measurement,  884. 
Other  supplies,  884  note. 
Supply  table,  884. 
Weight,  884. 
Documents: 

Files  of,  402,  403,  405,  406,  564. 
Obsolete,  disposition  of,  426. 
Retamed,  in  theater  of  operations,  566. 
Dressing  Packet,  Individual: 

Contents  of,  949. 
Dressings,  Surgical: 

Ambulance  box  of,  contents  of,  954. 
Box  of,  contents  of,  955. 
Civilians,  issues  and  sales  to,  242  to  244. 
First-aid  packets,  contents  of,  944  to  940. 
Individual    dressing   packet,    contents   of, 

949. 
Replenishment  of,  in  combat,  551,  633. 
Shell-wound,  946. 
Dressing  Stations: 
Bearers,  670. 
Closing,  090. 

Combination  with  aid  station,  679. 
Defensive  engagements,  720. 
Departments  of,  681. 
Diagnosis  tags,  use  of  at,  682,  684. 
Effects  of  patients,  649. 
Equipment  table,  874  to  878. 
Establishment  of,  676,  677. 
Evacuation  of.  (ISO.  «82,  685  to  690. 
General   provisions,   675  to  6S4,  690. 
Location  of,  676,  678,  679. 
Moving.  690. 

Offensive  engagements,  727. 
Opening,  670,  077. 


INDEX. 


375 


Dressing  Stations — Continued. 

Rear-guard  .actions,   730,  7H9. 

Records,   number  of  patients,   etc.,   to  bo 
noted,  (5S4. 

Shelter  from  fire,  678. 

Transportation  of  wounded  to  and  from, 
fi89. 

Treatment  at,  character  of,  G83. 
Durable  Property: 

Disposition  of.  259. 

I'urchaso  of,  259. 

Return  of,  2G0,  262. 

Transfer  of,  261. 

See  also  Hospital  Fund. 
Dnty,  Line  of: 

Record  of,  on  daily  sick  report,  207. 

Record  of,   on   register  of   patients,   448. 
449. 
Duty,  Betnrn  to: 

Record  of,  on  register  of  patients,  450. 

Surgeon   to   decide   when    patients    shall. 
281. 
Ear,  Nose,  and  Throat  Case: 

Contents  of,  912. 
Education  and  Training: 

General  provisions  concerning,  131  to  181. 
Effects  of  Dead  and  of  Patients : 

Infected   clothing,   230. 

In  hospitals,  221  to  226,  279. 

In  general  hospitals,  29.3,  301,  303. 
Efficiency  Reports: 

Civilian  employees,  120  to  128. 

Hospital   Corps,  46. 

Nurse  Corps,  99. 
Electric  Batteries: 

Dry  cells,  recharging  of,  845  note. 
Electric  Current: 

Requisitions   for,   486. 
Emblem  of  Sanitary  Service : 

Personnel,  formations,  and  materiel,  542 
to  546. 
Emergency  Case: 

Contents  of,  913. 
Employees : 

Civilian,    103   to   130. 

See  also  Civilian  Employees. 
Enlisted  Men: 

Deaths,  reports  of,  218,  219,  279,  300. 

Discharge,  physical  examination.s  for.  394. 

Identification  records  of,   392. 

Laundry  of  clothing  of,  267. 

Surgical  treatment,  refusal  of.  220. 

Valuables    of    patients,    forbidden    to    re- 
ceive, 221,  279. 

See  also  Hospital  Corps. 
Enlistments: 

While  in   hospital,   effect   of,   on   register 
of  patients,  431. 

See  also  Hospital  Corps. 
Epidemic  Diseases: 

Civilian    practitioners    treating    oQ    mili- 
tary   reservations,    348,    349. 

Reports  of,  201  to  203. 
Equipment : 

"A,"  "  B,"  and  "  C  "  defined,  860. 


Equipment — Continued. 

Field,    suggestions    for    improvement    of, 
474. 

Horse  equipments,   943. 

Hospital  Corps,  transfer  of,  48,  49. 

Sick  and  wounded  in  the  field,  640,  649. 

Wheel  transportation  for  equipment  "A" 
only,  860. 
Equipment  Tables : 

.Vdvance  medical  supply  depot,  895. 

Ambulance  company,  874  to  S7S. 

Base  hospital,  891,  892. 

Base  medical  supi)ly  depot,  894. 

Camp  hospitals,  886. 

Camp  infirmary,  869,  870,  873. 

Camp  infirmary  reserve,  871,  873. 

Chief  surgeon,  field  army,  oflice,  901. 

Division  surgeon,  blank  forms,   884,  885. 

Division  surgeon's  office,  8.S4. 

Evacuation  ambulance  company,  897. 

Evacuation  hospital,  891,  892. 

Field  hospital.  879  to  883. 

Field  laboratory,  896. 

Hospital  Corps,  horse,  943. 

Hospital  Corps,  individual,  865. 

Hospital  ship,  898. 

Hospital  train,  899,  900. 

Medical  officers,  individual,  864. 

Medical  reserve  unit,  891. 

Regimental    combat    equipment,     866    to 
868. 

Regimental  hospital,  872,  873. 

Surgeon,  base  group,  office,  901. 
Estimates,  Construction  and  Repair  of  Hospitals: 

General  provisions,  245. 
Evacuation  Ambulance  Companies: 

Commanding  officer,  duties,  805. 

Defensive  engagements,  726. 

Designation  of,  804. 

Duties  of,  808  to  812. 

Emergency  supplies  for,  552. 

Equipment,  806. 

Function  of,  807. 

General  provisions  concerning,  804  to  812. 

Increased  transport  for,  809. 

Location  of,  810. 

Motor  ambulances  for,  806. 

Number  of,  allowed,  804. 

Fersonnel,  806. 

Records,  reports,  and  returns,  562,  581. 

Relations  to  Medical  Department  organi- 
zation in  campaign,  586. 

Report  after  each  engagement,  562. 

Rest  stations  established  by,   781. 

Supplies  for,  806. 
Evacuation  Ambulance  Company  Equipment; 

Motor  amiiulances   for,   806. 

Pack  mules  probably  unnecessary,  806. 

Reserve   dressings    probably    unnecessary, 
806. 

Similar  to  that  of  an  ambulance  company, 
806,  897. 
Evacuation  Hospital  Equipment: 

Ambulances,  motor,  891  note. 

Blank  forms  for,  891  note. 


376 


INDEX. 


Efacnatlon  Hospital  Eqiilpmont — Continued. 
Cubic   measurement    of   medical    supplies, 

891. 
Medical  supplies,  801. 
Not  strictly  limited  to  supply  table,  850, 

889. 
Quartermaster  supplies,  892. 
Weight,  891.  892. 
Eracuation  Hospitals: 
Blauks    for,    891    note. 
Buildings  to  be  used  when  available,  700. 
Comniaudiiig  oflBcer,  duties  of,  790. 
Defensive  engagements,  726. 
Designation  of,   793. 
Emergency  supplies  for,  5.52. 
Evacuation  of,  801. 
Function   of,    79,5,   799. 
Line  of  communications  units,  79S. 
Location   of,    796,   797. 
Moving,  797,  708. 
Not  strictly  limited  to  supply  table,  8,">9, 

889. 
Number  allowed,  793. 
Opening,   798. 
Personnel  of,  704. 

Records,  reports,  and  returns,  575,  80.3. 
Relation   to  organization   of  Medical   De- 
partment in  campaign,  586. 
Supply    tables,    891,    802. 
Transportation  for  evacuation  of,  802. 
Treatment  of  wounded  at,   character  of, 

800. 
See  also  Evacuation  Hospital  Equipment. 
ETacnatlon  of  Sick  and  Wounded : 

Additional   transport   for,   629,   687,   800, 

823. 
Chief    problem    of    Medical    Department, 

530,  627,  754. 
Line  of  communications,  754,  819,  825. 
Selection    and    classification    of    patients 

for,  628,  826,  839. 
See  also  under  the  several  field  units. 
Examinations: 

Acting  dental   surgeons,  for  appointment 

and  promotion,  20,  21  to  24,  26  to  30. 
Chief  nurses,   59. 

Contract  surgeons,  for  appointment,  53. 
Dental  Corps,  for  appointment,  26  to  30. 
Field  appliances  and  chests.  516. 
Hospital  Corps,  sergeants  first  class  and 

sergeants,  33,  85,  36. 
Infectious      diseases,      examinations      of 

troops  for  discovery  of,  589. 
Instruments,  monthly,  519. 
Laboratory  specimens,  352  to  355. 
Medical  Corps,  for  appointment  and  pro 

motion,  2,   10,   11. 
Medical  property,  annual,  512. 
Medical   Reserve  Corps,  for  appointment, 

14  to  17. 
Nurse  Corps,  by  superintendent,  57. 
Nurse  Corps,  chief  nurses,  59. 
Nurse  Corps,  for  appointment,  56,  63  to 

65. 
Red  Cross  units,  by  medical  oflScers,  536. 
Pathological  specimens,  352  to  355. 


Examinations — Continued. 

Physical.  382  to  397.      (See  also  Physical 
Examinations.) 

Water,  356  to  360. 
Examining  Boards: 

For  acting  dental  surgeons,  22  to  24. 

For  contract  surgeons,  53. 

For  Dental  Corps,  22  to  24,  26  to  30. 

For  Hospital  Corps,  sergeants  first  class 
and  sergeants,  33,  35,  36. 

For  Medical  Corps,  2  to  9. 

For  Medical   Reserve  Corps,   15   to  17. 
Exchanges,  Post; 

Dividends  from,  348. 

Medical  and   hospital    care   of  employees 
of,  346. 
Expenses  of  Sales: 

M(>dical   property,   509. 
Expenses,  Traveling: 

Acting    dental    surgeon.s,    candidates    for 
employment  as,  21. 

Civilian  employees,  104  to  117. 

Contract  surgeons,   53. 

Medical    Corps,    candidates    for    appoint- 
ment in,  3,  8. 

Militia    ofllcers,    while    attending    Army 
Medical    School,   145. 

Nurse  Corps,  56,  72,  73.  82  to  85. 

Red  Cross  personnel,  536. 
Eye  Case: 

Contents  of,  914. 
Families : 

Definition  of,  with  respect  to  medical  at- 
tendance, 345. 
Feces : 

P"'or  diagnostic  purposes,  191,  352. 
Female  Nnrses: 

See  Xiirse  Corps  and  yurses. 
Field  Army,  Chief  Surgeon: 

General  provisions,  828  to  830. 

See  also  Chief  Surgeon,  Field  Army. 
Field  Chests: 

Contents  of,  927  to  938. 
Field  Desks: 

Contents  of  No.  1,  940. 

Contents  of  No.  2,  941. 
Field  Equipment: 

See  Equipment  and  Equipment  Tables. 
Field  Hospital  Directors: 

General  provisions,  691    to  694. 

See   also  Directors   of  Field   Hospitals. 
Field  Hospital  Equipment: 

Articles  kept   in  store,   879. 

Articles  not  kept  in  store,  880. 

Articles    supplied    by    camp    quartermas- 
ter, 882. 

As    a    nucleus    for   camp    hospital    equip- 
ment, 604,  886. 

Containers  for,  how  marked,  879  note. 

Cubic  measurements  as  stored,   879. 

Grain,  1  day's  in  jockey  box,  883  note. 

Loading  table  for  wagons,  883. 

Rail  transportation  rcciuired,  881. 

Retiuisitions  for,   879,   8S0. 

Supply  table,  870,  880. 

Tentage,  directions  for  loading,  883  note. 


INDEX. 


377 


Field  Hospital  Equipment — Continued. 
Wagons,   how  marked,   606. 
Weight  as  carrifd  on  wagons,  883. 
Weight  as  stored,  879. 
Field  Hospitals,  Peace  Organization: 

Certiflcatos  of  proficiency  for  men  under 

instruction,  164,  165. 
Commanding  officer,  159,  160. 
Discipline,  160. 

Duties  of  permanent  per-sonnel,   158. 
Instruction,  courses  of,  161  to  165. 
Law  authorizing,  33. 
Organization,  158. 
Personnel,  158. 

Records  of  class  work,  163  to  165. 
See  also  Hospital  Corps. 
Field  Hospitals,  War  Orgaiiization : 
Blanks  for,  879,  940. 
Civil  hospitals,  transfers  to,  700. 
Closing,  708,  709, 
Collecting  points  for  sick,  700. 
Commanding  officer,  697. 
Defensive  engagements,  726, 
Departments  of,  703,  704. 
Designations  of,  695. 
Diagnosis  tags,  use  of,  572. 
Dressing  stations,  replacement  of,  701. 
Duties,  general,  699  to  709. 
Duties,  in  combat,  701  to  707, 
Duties,  on  the  march,  700. 
Establishment  of,  701, 
Evacuation  of,  699,  700,  704,  706  to  70S 
Function  of,  699. 

General  provisions  concerning,  695  to  709. 
Guards,  550. 
Immobilization  of,  to  be  prevented,  603 

700,  707. 
Law  authorizing,  33. 
Location  of,  701. 
Moving,  708,  709. 
Number  to  be  established,  701. 
Offensive  engagements,  729. 
Opening,  700  to  702,  709. 
Personnel,  698. 
Rear-guard  actions,  730,  739. 
Records,   reports,  and  returns,   562,    704. 
Report  after  each  engagement,  562. 
Station,  on  march,  722. 
Supply  tables,  879  to  882. 
Treatment  at,  character  of,  705. 
With  cavalry  divisions,  741. 
See  also  Field  Hospital  Equipment. 
Field  Laboratories: 

Establishment  and  function  of,  778. 
Records  of  sick  and  wounded  at,  575. 
Relation  to  Medical  Department  organiza- 
tion in  campaign,  586, 
Supply  table,  896. 
Field  Laboratory  Chests: 
Contents  of  No.  1,  930. 
Contents  of  No.  2,  931, 
Contents  of  crate.  939. 
Field  Medical  Supplies: 

Base  supply  depots;  on  hand  at,  782.     ' 
Containers  for,  863. 


Field  Medical  Supplies— Continued 

Delivery  of,  in  the  zone  of  the  advance, 
00.5. 

Department    sanitary    inspector's    duties 

regarding,  371. 
^^'^^nment   surgeon's   duties   regarding. 

Distribution  of,  in  time  of  peace,  504 
to  506. 

Equipments  "A",  "  B ",  and  "C"  de- 
fined, 860, 

Iloj^pital    Corps    man    may    accompany, 

5o4, 
Inspections  of,   516. 
Litters,  replacement  of  canvas,  526, 
Maximum  and  minimum  list  of'  78'>  '  7ss 

8.30.  '       "'         ' 

Not  to  be  used  at  posts,  515. 
I'acking  of,  863. 

Replenishment,  how  often,  858. 
Replenishment  in  combat,  551. 
Requisitions  for,  in  peace,  489^  490. 
Requisitions  for,  in  war,  551  to  553, 
Returns  of,  507. 
Tables  of,  857  to  901. 
Transportation  of,  549,  554. 
Wheeled  transportation  for*  "A"  supplies 
only,  860. 

See     also     Equipment     and     Equipment 
Tables. 
Field  Microscope  with  Accessory  Case: 

Contents   of,   950. 
Field  Problems  for  Medical  Officers : 

Casualties  in  action,  152. 

General    provisions    concerning,    148    to 
153. 

Medical  personnel  required  in  war   153 
FleW  Supply  Tables: 

General  outline,  857  to  901. 

See  also  Equipment  Tables. 
Fire: 

In    hospitals,   279,   300, 
Firearms : 

Guards  for  sanitary  formations,  550. 

Wounded  on  the  field,  640,  649. 
'-'irst  Aid: 

Instruction   in,   131,   155,   162,    170.   594 
634. 
First- Aid  Packets: 

Contents  of,  944  to  946. 
Issues  of,   to   line  troops,  845   note. 
Personnel  provided  with,  632,  633. 
Wounded  to  apply,  when,  644. 


Sanitary  service,  545. 
Floors : 

Hospitals,  oiling,  painting,  etc.,  246. 
Food  Boxes: 

Contents  of  ambulance  box,  947. 

Contents  of  box,  948. 
Foot  Powder: 

Issue  of,  to  troops,  843  note. 
Forceps  Case,  Hemostatic: 

Contents   of,  915. 
Fprmaldehyde : 

Gas,  rule  for  generating,  843  note. 


a7« 


INDEX. 


Forms : 

See  BImik  Forms. 
Formnl» : 

Unofficial    compound    merticinal    prepara- 
tions. 002. 
Fort  Bayard  General  Hospital: 

Admissions,  :534  to  3?.8,  ;'.06. 

Discipline  of  patients,  844. 

Examinations,    pliysical,    for    admission, 
396. 

General  provisions,  334  to  344. 

Hospital  charges,  339  to  343. 

Navy   patients.    335,   341. 

Transfers   to,   334,   836. 
Fractures : 

Record  of,  on  register  of  patients,  456. 
Fuel: 

Requisitions  for  coal,  gas,  and  oil,  486. 

Fund,  Hospital: 

General  provisions,  248  to  262. 
See  also  Hospital  Fund. 
Furloughs : 

Hospital  Corps,  45. 

Record  of,  on  register  of  patients,  450. 
Gardener,  Hospital: 

Gratuities  to,   255. 
Gas,  as  Fuel: 

Requisitions  for,  486. 
General  Hospitals: 

Additional  in  time  of  war,  606. 
Adjutant,  200,  292,  297,  301. 
Administration  division  personnel,  290. 
Admissions  to,  288,  301.  307. 
Assistants  to  officer  of  the  day,  298,  301 

to  306. 
Augmentation  of,  in  war,  587,  606. 
Capacity  of  those  of  standard  size,  289. 
Chaplain,  290. 

Chief  of  medical  service,  290,  307,  310. 
Chief  of  surgical  service,  290,  307,  310. 
Commanding  officer,  284,  290,  291. 
Commanding  officer,  detachment  Hospital 

Corps.  290,  296. 
Commanding    officer,    detacliment    of    pa- 
tients, 293. 
Consulting   board,   316. 
Control   of,  284. 
Convalescent   camp,    290. 
Dental   service,   290. 
Enlisted     men     under     treatment     three 

months,  287. 
Executive  officer,  292. 
Expansion  of,  plans  for,  289. 
Fire  in,  300. 
Function   of,   283. 
Guards  for,  300.  305,  306. 
Hospital    Corps  detachment,   290,    296. 
Hospital  fund,  295. 
Hospitals,     ports     of     embarkation,      as 

branches    of,   609. 
Laboratory,   290. 
Matrons  on  duty  at,  266. 
Mess,   290,   295,   300. 

Money    and    valuables    of    patients,    293, 
301. 


GoiMTiil  Hospitals — Continued. 

Nursing  service,  290,  311  to  315. 
Officer  of  the  day,  290,  297  to  302. 
Officer  of  the  guard.  290. 
Officers    under    treatment    three    months. 

287. 
Patients'  effects,  293,  301,  303. 
Patients   under   treatment  three   months, 

287. 
Personnel  of,  290. 

Plans  and  specifications  for,  289.    .  _,,^ 
Professional    division   personnel,    290. 
Public  property  at,  294,  304. 
Purposes  of,  283. 
Quartermaster,  290,  294. 
Quartermaster  Corps  men,  290. 
Rod  Cross,  use  of,  in  time  of  war,  290. 
Registrar,  290,  293. 
Report   on    cases   under   treatment    three 

months,  287. 
Reports  and  returns,  287,  292,  293. 
Return    to    duty    of    those    under    treat- 
ment. 285. 
Supplies  for,  how  obtained,  286. 
Temporary,  289. 

Voluntary  aid,  acceptance  of,  539  to  541. 
Wards,  279,  290,  308  to  310. 
Ward  surgeons,  290,  307  to  310. 
Watchmen,  300,  305. 
See   also  Hospital  Service. 
General  Operating  Case: 

Contents   of,   916. 
Geneva  Convention  of  1906: 

I'rovisions  of,  543,   547  to  549. 
Genito-l  rinary  Case: 
Contents  of,  917. 
Gonorrhea : 

Provisions   concerning,    198,    199. 
Government  Hospital  for  the  Insane : 

Examinations,    physical,   for   transfer   tp, 

396. 
Transfer  cards  of  cases  sent  to,  218. 
Gratuities : 

To  cooks  and  gardeners,  255. 
Guards : 

For  general  hospitals,  306. 
Sanitary  service,  in  the  field,  550. 
Gynecological  Case: 

Contents  of.  918. 
Health,  Boards  of: 

To  be  notified  of  appearance  of  infectious 
disease,  203. 
Hearing : 

Examinations  of.   397. 
Hemostatic  Forceps  Case: 

Contents  of,  915. 
Hernia : 

Record  of,  on  register  of  patients.  455. 

History,  Medical,  of  Posts: 

General  provisions,  412. 

See  also  Medical  History  of  Posts. 
Horse  Equipments: 

Hospital  Corps,  943. 

Hospital  Boats: 

See  Hospital  Ships. 


INDEX. 


379 


Hos|ilial  Buildings; 

Construction  and  I'opair  of,  "245,  1204,  ;?fir). 

Floors,  246. 

Quarters  of  sergeant  first  class.  Hospital 

Corps,  24.5,  365. 
Repair  of,  245,  365. 
Koports  of  proi^ress  of  work  on,  245. 
Hospital  Charges: 

Army   and    Navy    General   Hospital,    32'.>, 
330. 

Fort  Bayard,  339  to  343. 
Hospital  Corps: 

Acting  cooks,  37,  38. 

Acting  hospital  stewards,  33. 

Assignment  to  duty,  44. 

Bedding,  use  of  by,  523. 

Certificates  of  proficiency,  146,  164,  178. 

Changes  of  station  or  status,  reports  of, 
45,  46,   47. 

Clothing,  allowances,  47. 

Clothing,  sizes  of,  47. 

Clothing,  white,  when  to  be  worn,  47. 

Constitution  of,  33. 

Cooks,  acting,  37,  38. 

Corporals,  39. 

Deaths,  reports  of,  45,  219. 

Dentist's  assistant,  42. 

Descriptive  and  assignment  cards,  41,  49. 

Descriptive  lists,  41,  47,  49,  179. 

Desertions,  45. 

Discharges,  45. 

Duties,  general,  33,  43,  279,  298. 

Duties  in  general  hospitals,   301   to   306. 

Efficiency  reports,  46. 

Enlistments  in,  40,  41,  45. 

Equipment,  method  of  packing,  865  note. 

Equipment  table,  865. 

Equipment  transferred  with,  48,  49. 

Field  kits,  865  note. 

Furloughs,  45. 

Horse  equipments,  943. 

Hospital  stewards,  33. 

Instruction  of,  131,  156,  167  to  181,  296. 

Instruction  of  dental  assistant,  42. 

Lance  corporals,  39. 

Laundering  of  white  clothing,  47,  267. 

Law  establishing,  33. 

Noncommissioned  officers,  duties,  43. 

Number  allowed,  33. 

Personnel  for  general  hospitals,  290. 

Return  of,  50,  180. 

Sergeants    first   class    and    sergeants,    33, 
34  to  36. 

Service  kits,  865. 

Sickness,  report  of,  45. 

Surplus  kits,   865  note. 

Transfers  of,  to  other  stations,  44  to  49. 

Transfers   to,   33,   40,  41. 

See  also  Amhulance  Companies  and  Field 
Hospitals. 
Hospital  Corps  Belt: 

Contents  of,  907. 

Medical  officers  may  make  changes  in  con- 
tents, 907  note. 

Transfer  of,  907  note. 


Hospital  Coiinrlh: 

To  ;iiulit  liospital  fund,  258. 
HoNpKal  Employees: 

See  Oivilinn  Employees. 
Hospital  Fund: 

Accountability  for,  253,  260  to  262,  295. 

Audit  of,  258,  365. 

Company  fund,  equivalent  to,  251. 

Custodian  of,  252,  253,  260,  261,  29.5. 

Department  surgeon,  action  of,  255,  257, 
259,  260,  365. 

Durable  property  bougbt  with,  259  to  262. 

Expenditure  of,  251,  254,  256,  365. 

General  hospitals,  295. 

Gratuities,   255. 

Liquors,  purchase  restricted,  256. 

Mess   accounts,    237. 

Proceedings  of  council,  258. 

Purchases  with,  231,  256. 

Receipts  to  be  taken,  254. 

Sources  of,  248,  249,  331,  343. 

Statements  of,  260  to  262,  365. 

Transfer  of,   257   to   261. 
Hospital  Garden: 

Products    of,   231,   248. 
Hospital   Gardener: 

Gratuities  to,  255. 
Hospital  Laundry: 

General  provisions,  265  to  278. 

See  also  Laundry,  Hospital. 
Hospital  Matrons : 

Allowances  of,  265  to  269. 

Discharge,  268. 

Duties,  266  to  269. 

Farming  work  forbidden,  268. 

Ijaw   authorizing,    265. 

Leave  of  absence,   268. 

Pay.   265   to  269. 

Rations,  265  to  269. 

Statement  of  work  done  by,  278. 
Hospital  Rules : 

{References  are  to  subsections   of  paror 
graph  279.) 

Absence  without  leave,  a  14. 

Arising,   hour  of,   a  7. 

Bedding,  squad  room,  care  of,  a  9. 

Bedding,  ward,  care  of,  b  13. 

Beds,  squad  room,  arrangement  and  care 
of,  a  8,  a  9,  a  10. 

Beds,  ward,  care  of,  b  13. 

Borrowing  from  patients,  a  16. 

Clinical   records,   6   10. 

Clothing,  disposition  of,  a  8. 

Deaths,   b  5. 

Diet  orders,   b  2. 

Duties  of  senior  noncommissioned  officer, 
a  1. 

Duties  of  those  in  charge  of  departments, 
a  5. 

Emergency  squads,  a  17. 

Equipments,  disposition  of,  a  10. 

Fire,  a  18,  a  19. 

Formations,  all  to  be  present  at,  a  6. 

fJambling,   b  14. 

General   rules,    a. 

Inspections,  a  15,  a  18,  a  19. 


380 


INDEX. 


Hospital  Rnles — Continued. 

Kitchen  and  mess  attendants,  a  7. 

Lights,  unauthorized,  a  18,  a  19. 

Liquors,  precautions  concerning,  b  4,  &  14. 

Noncommissioned  offlcer  In  charge  of 
quarters,  a  17,  a  18,  a  19. 

Patients,  care  of,  o  1,  5  8. 

Patients,  discipline  of,  b  1,  &  14,  b  15. 

Patients'  eflfects,  6  2.  b  9. 

Patients,  giving  information  regarding, 
prohibited,  b  11. 

Patients  to  be  made  acquainted  with 
ward  rules,  b  6. 

Personal  cleanliness,  a  12. 

Poisons,   precautions   concerning,   b  4. 

Police,  a  15. 

Prescriptions  and  medicines,  b  2,  b  3. 

Profanity  in  wards,  b  14. 

Public  property,  care  of,  o  2,  a  3,  a  4,  b  2. 

Squad  rooms,  care  of,  a  11. 

Uniform,   a  13. 

Visitors,   b  12. 

Wardmaster,   duties  of,   b   1   to   b   15. 

Ward  records,  b  3,  b  10. 

Ward  rules,   b. 

Wards,  cleanliness  of,   b  2. 

Watclimen,  a  18,  a  19. 
Hospitals : 

Army  and  Navy  General,  317  to  333. 

Base,  757  to  765. 

Camp,  602  to  605. 

Contagious   disease,   767,   768. 

Department,  282. 

Evacuation,  793  to  803. 

Field,  695  to  709. 

Sort  Bayard  General,  334  to  344. 

General,  283  to  316. 

Port  of  embarkation,  609. 

Post,  280,  281. 

Prisoners  of  war,  611. 

Regimental,  632. 

See  also  under  the  above  several  heads. 
Hospital  Safe: 

Combination  of,  247. 
Hospitals,  Civilian: 

Transfer  of  patients  to,  in  the  field,  700. 
Hospital  Service: 

Admission  and  distribution  of  patients, 
209  to  211. 

Bedding,  hospital,  to  be  used  only  in 
hospitals,  523. 

Buildings,  245,  246. 

Change  of  diagnosis  cards,  212,  213. 

Civilian   employees,   post   exchanges,   346. 

Civilian  patients,  charges  for  medicine, 
242. 

Civilians,  issues  to  prevent  suffering,  244. 

Correspondence  record  and  document  file 
system,  402  to  406.  (See  also  Corre- 
spondence.) 

Deaths,  218,  219,  225.     (See  also  Deaths.) 

Diet  kitchens,  239. 

Dispensary  management,  240  to  244. 

Durable  property,  259  to  262. 

Effects  of  patients,  221  to  226. 

Gratuities,  255. 


Hospital  Service — Continued. 

Hospital    fund,    248    to    262.      (See    also 
Hospital  Fund.) 

Hospital  rules,  279.     (See  also  Hospital 
Rules.) 

Hospital  safe,  247. 

Ice  for,  263,  264. 

Infected  property,  destruction  of,  230. 

Laundry,  265  to  278.     (See  also  Laundry.) 

Matrons,  265  to  269. 

Medicine,  issued  or  sold  to  civilians,  242, 
243. 

Mess  management,  231  to  239.     (See  also 
Mess  Management.) 

Patients,    admission    and   distribution   of, 
209  to  211. 

Patients,     appliances     transferred     with, 
228. 

I'atients,   civilian,   charges  for   medicine, 
242. 

I'atients,    clinical    records    of,    209,    279. 
(See  also  Clinical  Records.) 

I'atients'  clothing,  disinfection  of,  222. 

Patients'    clothing,    laundering    of,    222, 
267. 

I'atients,  clothing  to  be  worn  by,  228. 

Patients,  duties  to  be  performed  by,  281. 

Patients'  effects,  221  to  226. 

Patients,  transfers  and  transfer  cards  of. 
209  to  211,  214  to  217. 

Prescriptions,  240  to  244. 

I'roperty  brought  in  by  patients,  227,  304. 

Property,  infected,   230. 

Property,  use  and  care  of,  512  to  526. 

Regulations   for    interior    administration, 
279. 

Sales  of  medicine,  disposition  of  proceeds, 
243. 

Seamen,  Army  Transport  Service,  250. 

Sick  call,  206  to  '208. 

Ward  morning  reports,  211. 

Ward    rules,    279.       (See    also    Hospital 
Rules.) 

See  also  General  Hospitals  and  Post  Hos- 
pitals. 
Hospital  Ships; 

Command  of,  623. 

Equipment  and  supplies  for,  622,  898. 

Insignia  of,  542. 

Line  of  communications,  769,  772. 

Not  to  be  diverted  from  Medical  Depart- 
ment, 549. 

Personnel,  621. 

Records,   reports,  and  returns,   5S2,   584, 
625. 

Red  Cross,  623. 

Register  of  patients  on,  584. 

Relation   to  organization  of  Medical  De- 
partment in  campaign,  586. 

Report  after  each  trip,  5G2. 

Service  of  the  interior,  619  to  625. 

Ships   for  patients,   619   to   625,    769   to 
772. 

Use  and  operation  of,  624. 


INDEX. 


381 


Hospitalis,  Torts  of  Embarkation: 

Control  of,   609. 

Establishment  of,  609. 

May    1)0    branches    of    general    hospitals, 
009. 
Hospital  Trains: 

t'oniuuuul  of,  616. 

Etiuipment  and  supplies  for,  615,  899 

Line  of  communications,  769  to  TTli. 

Litter  fittings  for  box  cars,  900. 

Not  to  be  diverted  from  Medical  Uepart- 
ment,  549. 

Personnel,  614. 

Records,   reports,  and  returns,  562,   582, 
584,  617. 

Report  after  each  trip,  562. 

Register  of  patients  on,  584. 

Relation   to   Medical   Department  organi- 
zation  in  campaign,  5S6. 

Service  of  the  interior,  613  to  617. 

Trains   for  patients,   613  to  617,  769   to 
772. 
Hyi?iene: 

Instruction  in,  131,  154,  594,  634. 
Hypodermic  Syringe: 

Accessories,  956. 
Ice: 

For  hospitals,  263,  264. 
Identification  Records: 

Of  recruits,  392. 
Identification  Sapplles: 

Ice,  264. 

Requisitions  for,  486,  847  note. 

Supply  table,  847. 
Identification  Tags: 

Provisions  concerning,  221,  227,  303. 
Identity,  Certificates  of: 

Provisions  concerning,  542  to  544. 
Index  Catalogue : 

Library,  Surgeon  General's  Office,  132. 
Index  Medicus: 

Library,  Surgeon  General's  Office,  132. 
Index  to  Register  of  Patients : 

How  made,  432. 
IndlTldual  Dressing  Packet: 

(•ont?nts   of,   949. 
Individnal  Voluntary  Aid: 

General  provisions,  537  to  541. 

i'ercentage  of,  that  may  be  used  in  war, 
153. 
Infantry  Division: 

Administration    of    sanitary    service    of, 
716  to  750. 
Infected  Clothing  and  Property: 

Treatment  of,   230. 
Infectious-Disease  Hospitals : 

See  Contai/ioits  Disease  Hospitals. 
Infectious  Diseases:     - 

General  provisions,  183  to  200. 

See  also  Di'^eases,  Infections. 
Infirmary,  Camp: 

General  provisions,  657  to  666. 

See  also  Camp  Infirmaries. 
Inhabitants  of  Occupied  Territory: 

Relief  of  distress  and  suffering,  755. 

Sanitation  among,  531,  754. 

93440°— 17 24 


Insane: 

Physical  examinntions  of,  396. 
Transfer  cards  of,  216. 
Insignia: 

Brassards,    542   to  544. 

Flags  of  sanitary  service,  515. 

Sanitary  materiel,  546. 

Sanitary  personnel,  542  to  544. 

Sanitary   units,   545. 
Inspections: 

Ambulance  jcompanies,   by  directors,  653. 

Divisional  units,  administrative,  747. 

Divisional  units,  sanitary,  744,  746. 

Equipment,  at  mobilization  camps,  594. 

Field  appliances  and  chests  at  posts,  516. 

General  hospitals,  by  officer  of  day,  300. 

Hospitals,  daily,  279. 

Instruments,  monthly,  519. 

Line  of  communications,  administrative 
and  sanitary,   827. 

Nurse  Corps,  by  superintendent,  57. 

Posts,  by  sanitary  inspectors,  371  to  374. 

Posts,  by  surgeons,  182,  414  to  417. 

Red  Cross,  by  medical  officers,  536. 

Regiments,  by  surgeons,  634. 

Service  of  the  interior,  by  sanitary  inspec- 
tors, 626. 

Troops,  before  going  in  field,  589. 

Troop  trains,  590. 

Venereal,    198. 

See  also  Sanitary  Inspections. 
Inspectors,  Sanitary: 

See  Hanitary  Inspectors. 
Instruction : 

Army  Field  Service  and  Correspondence 
School,   147. 

Army  Medical  Museum,  134,  135. 

Army  Medical  School,  136  to  146. 

Field  problems  for  medical  officers,  148  to 
153. 

First  aid,  131,  155,  162,  170,  594,  634. 

Hospital  Corps,  131,  156  to  181,  296. 

Hygiene,  127,  154,  594,  634. 

Library,  Surgeon  General's  Office,  132, 
133. 

Mobilization  camps,  594. 

Professional  training,  military  services, 
131,  283. 

See    also    Army   Field   Service    and    Cor- 
respondence School,  and  Army  Medical 
School. 
Instrument  Case : 

Medical  officer's  belt,  919. 
Instruments : 

Cases  of,  receipts  for,  498. 

Examinations  of,   monthly,  519. 

Meteorological,  527. 

Removal  from  hospital,  513. 

Repair  of.  521. 

Rust,  prevention  of,  520. 
Intercurrent  Diseases : 

Record  of.  on  register  of  patients  and 
reports  of  sick  and  wounded,  446,  449, 
462. 


382 


INDEX. 


Iniolrcs: 

Articles  purchased,  378,  476. 

Articles  transferred,  496  to  499,  503,  551. 

As  requisitions,  783. 

Broken  packages,  503. 

Nomenclature,  475. 

To  conform  to  supply  tables,  475. 

T'nserviceable  articles,  499. 
Kits,  Service : 

Hospital  Corps.  865. 
Laboratories,  Department: 

General    provisions,    351    to    360. 

See  also  Department  Laboratories. 
Laboratories,  Field: 

General  provisions,  778,  779. 

See  also  Field  Laboratories. 
Laboratories,  Hospital : 

Supplies  for,  846. 
Laborers : 

See  CiiiUan  Employees. 
Labor  Begulations: 

See  Civilian  Employees. 
Lance  Corporals: 

Appointment  of,  39. 

See  also  Hospital  Corps. 
Laundry,  Hospital: 

Accounts   for,  271,   272,  274,  277,  278. 

Advertising  for  proposals   for,   272,   273. 

Bedding,  266,  523. 

Blankets,  523. 

Bonds  for  contracts  for,  276. 

Canvas  for  litters,  526. 

Contracts,  274  to  276. 

Cost  of,  269. 

Definition  of  what  comprises,  267. 

Excess,  not  done  by  matron,  269,  270,  278. 

Matron  to  do  not  les«  than   500  pieces, 
266. 

Nurses'  quarters,  linen  from,  80. 

Nurses'  uniforms,  96,  267. 

Patients'  clothing,  222,  267. 
Leaves  of  Absence: 

Civilian  employees,   129. 

Matrons,   hospital,   268. 

Nurse  Corps,  56,  76,  89  to  92. 

Record   of,    on   register   of  patients,   428, 
450. 

Sick    leaves,    officers,    physical    examina- 
tions for,  388. 
Lenses,  Trial,  Case  of: 

Contends  of,  026. 
Library,  Surseon  General's  Office: 

General   provisions,   132,   133. 

Part  of  educational  system,  131. 
Line  of  CommnBlcations : 

Administration    of    sanitary    service    of, 
813  to  827. 

Advance  section,  752,  SI.";. 

Base  section,  752. 

Description  of,  529,  751  to  753. 

Divisions  of,   753,   756. 

Inhabitants    of    occupied    territory,    754. 
755. 

Intermedlafo  section,  752,  815. 

May  act  in  the  zone  of  the  advance,  TiJf'i. 
752,  809. 


Line  of  Communications — Continued. 
Medical  Department  units  on,  756. 
Medical  service  of,  751  to  827. 
Mission  of  the  sanitary  service  of,  628, 

754,    755,    826. 
Relation  to  other  zones,  586. 
What  constitutes,  751. 
Line  of  Duty: 

Record  of.  on  daily  sick  report,  207. 
Record   of,   on   register  of  patients,   448, 
449. 
Liquors : 

In  storerooms,  514. 

Prescriptions  for,  to  be  kept  on  separate 

file,  240. 
Purchase  of,   with   hospital   fund,   256. 
List  of  Sick  and  Wounded: 

Cases  to  be  entered  on,  576,  577,  579. 
Casualties  In  action,  method  of  entering, 

579. 
Disposition  of,  578. 

Evacuation  ambulance  companies,  581. 
Hospital   trains  and  hospital  ships,   582. 
Number   of   copies   required.    578,    579. 
Stations  for  sllglitly  wounded,  580. 
Use    of,    in    making   nominal    list    of    pa- 
tients  transferred,   583. 
Use  of,  in  making  returns  of  casualties, 

579. 
Use  of.  to  check  list  of  soldiers  reported 

as  missing,  579. 
"  With  the  command,"   meaning  of,   577. 
Litters : 

Canvas    for,    repairing    and    washing    of, 

526. 
Fittings  for  freight  cars,  900. 
Issue   of,    to   line    troops,    845    note,    866 

note. 
Number  issued  to  different  arms  of  serv- 
ice, 866. 
Transportation    of,    on    the    march,    866 

note. 
Wounded  on,   when  to  be  removed  from, 
689. 
Loading  of  Mnles  and  Wagons: 
Camp  infirmary,  87.'!. 
Camp  infirmary  reserve,  873. 
Dressing  station,  878. 
Field  hospital,  883. 
Regimental  combat  equipment,  868. 
Regimental  hospital,  873. 
Malarial  Kexistor: 

I'rovisions  concerning,  105  to  107. 
Malingcrlni?: 

Record  of,  on  register  of  patients,  456. 

Marine  Corps: 

Patients  at  Army  and  Navy  General  IIos 
pital,   325,   327,   329. 

Patients  at  Fort  Bayard,  335,  341. 
Marriascs : 

Record  of,  on  reports  of  sick  and  wound- 
ed,  459. 
Matrons,  Hospital: 

(leneral  provisions,  265  to  269. 

See  also  Hospital  Matrons. 


INDEX. 


383 


HeaslfB : 

Report  of  appearanco  of,  201. 
Medlral  and  Siurplcal  Chest  t 

Contents  of,  932. 
Medical  and  Surgical  Chest,  Supplementary: 

Contents   of,   933. 
Hedlesl  Attendance: 

Civilian  employees  of  post  exchanges,  34<i. 

Families  of  officers  and  enlisted  men,  345. 

Inhabitants  of  occupied  territory,  755. 

March,  on  the,  638. 

Nurse  Corps,  56,  86  to  88. 

Private  practice  of  medical  officers,  347. 

Refusal   of   treatment,    220. 

Seamen,  Transport  Service,  250. 
Uedieal  Books,  Bo:£  of: 

Contents,   908. 
Medical  Corps: 

Allowances,  2. 

Appointments  in,  2  to  9. 

Army  Medical  School,  qualified  candidates 
to  attend,  8. 

Candidates  for,  pay  and  allowances,  8. 

Constitution  of,   2. 

Discharges  from,   2. 

Examinations  for  appointment  in,  prelim- 
inary and  final,  2  to  7,  9. 

Examinations  for  promotion  in,  10,  11. 

ETxpenses  of  candidates  for  appointment, 
3,  8. 

Law  establishing,  2. 

Pay,  2. 

Promotions,    2.   10,   11. 

Qualifications  for  appointment  in,  3. 

Rank,   2. 

Retirement,  2. 
Medical  Department; 

Constituents  of,  1,  532, 

Distribution  in  campaign,  585,  586. 

Duties,  educational,  131. 

Duties  in  the  field,  148,  531,  627  to  629. 

Duties  of,  general,   1,   148. 

Organization,  field,  585,  586. 

Organization,   general,   1. 

Personnel,  153,  532,  .533.     (See  also  Sani- 
tary  Personnel.) 

Purpose  of,  in  war,   530. 
Medical  History  of  Post: 

Binder  for,  844. 

General    provisions,    412. 

Punch   for   perforating   leaves  of,   844. 

Sanitary  report  filed  in,  414. 

Sick  and  wounded,  report  sheet,  filed  in, 
460. 
Medical  Inspections: 

See  Inspections. 
Medical  Inspectors: 

See  Sanitary  Inspectors. 
Medical  OfBcers: 

Accountability   of,    for   medical   property, 
501  to  503,  507,  508. 

Administrative   capacity,   361.   362. 

Advisory   capacity,   361,   363. 

Army  Medical  School,  in  attendance  at, 
143  to  145. 


Medical  Officers — (*ontlnued. 

Changes  of  station  or  status,  reports  of, 
12,  13. 

Deaths  of,  reports  of,  218,  219. 

Disbursing  officers.      (See  Diabursmg  Of- 
ficers. ) 

Duties  of,  general,  361  to  363. 

Equipment  table,  864. 

Field  problems  for,  148  to  153. 

Field   service  and   correspondence  school 
for,  147. 

Personal  reports  of,  12,  13,  18,  19. 

Private  practice  of,   347. 

Reports  and  returns  by,  398. 

Responsibility   of,    for   unsanitary   condi- 
tions, 362. 

Sanitary  duties,  182. 

Titles  of,  534. 

Training  of,  148,  157,  283. 

Transport  service,  381. 

Volunteer,  14. 

See    also    Dental    Corps,    Medical    Corps, 
and   Medical  Reserve  Corps. 
Medical  Officer's  Belt: 

Contents  of,  864. 

Instrument  case,  contents  of,  919. 

Medicine  case,   contents  of,  920. 
Medical  Officers,  Organized  Militia: 

At  Army  Medical   School,  142,   145. 
Medical  Property: 

Abandonment  of  posts,  disposition  of,  511. 

Accountability  for,  380,  497,  501  to  508, 
638. 

Appliances  issued  to  or  transferred  with 
patients,  228,  229. 

Army  Medical  School,  141. 

Bedding,  use  of  by  Hospital  Corps,  523. 

Blankets,  airing,  inspection,  and  laundry 
of,  ,523. 

Books  loaned  to  medical  officers,  134,  513. 

Bougies,    preservation   of,    525. 

Canvas   for   litters,   washing   and  replac- 
ing, 526. 

Care  of.  512  to  526. 

Catheters,   preservation  of,  525. 

Cleaning  mixtures,  518. 

Cosmetics,  518. 

Examinations  of,  annual,  512. 

Exchange  with  druggists,  517. 

Field   appliances   and   chests,    inspections 
of,  at  posts,  516. 

Field  equipment  will  not  be  used  at  posts, 
515. 

L^urnlture,  repair  of,  522. 

Instruments,    monthly    examinations    of, 
519. 

Instruments,  prevention  of  rust,  520. 

Instruments,  repair  of,  521. 

Perfumery,  518. 

Removal  from  posts,  513. 

Returns  of,  507,  508.      (See  also  Returns 
of  Medical  Property.) 

Sales,  509,  510. 

Typewriters,  packing  of,  524. 

Unserviceable,  499,  510.  511. 

See  also  Field  Medical  Supplies  and  Medi- 
cal Supplies. 


384 


INDEX. 


Medical  Reserve  Corps: 

Addresses,  changes  of,  inactive,  19. 

Allowances,  8,  14. 

Appointments  in,  8,  14  to  10. 

Assignment   to  active  duty,   0,   14,   17. 

Authority  of  officers  of,  14. 

Discharge,  14,  143. 

Forfeiture  of  commission,   14. 

Law  establishing,  14. 

ray,  8,  14. 

Tension,  14. 

Personal  reports  of,  IS,  19. 

Physical  examination  upon  assignment  to, 

and  relief  from,  active  duty,   17. 
Qualifications    for    appointment    in,     14 

to  16. 
Ranl<  of  ofBcers  of,   14. 
IJolief  from  active  duty,  14. 
Retirement,  14. 

Use  of  personnel  of,  in  war,  587. 
Medical  Ecscftc  Unit: 
Composition  of,  891. 
Definition  of,  890. 
Number  at  advance  depot,  788. 
Number  at  base  depot,  782. 
To  be  kept  in  store  in  time  of  peace,  800. 
Medical  Superintendents,  Army  Transport  Service : 
Surgeon,  port  of  embarkation,  to  act  as, 

610. 
To  report  Medical  Department  personnel 

on  transports,  424. 
Medical  Supplies: 

Accountability,  880,  497,  501  to  508,  6.".3. 
Ail  necessary  articles  for  military  service 

included  in  supply  tables,  474. 
Allowances  of,  see  Supply  Tables. 
Apparatus    and    appliances,    improvement 

of,  474. 
Care  and  use  of,  512  to  526. 
Care    necessary    in    receipting    for    cases, 

chests,  etc.,  498. 
Defects  in  quality,  quantity,  and  packing 

to  be  reported,  500. 
Dental   surgeons,   issues  of  post  supplies 

to,  491. 
Distribution  in  the  zone  of  the  advance, 

555. 
Distribution  of  field  supplies  in   time  of 

peace,  504  to  506. 
For  general  hospitals,  286. 
General  provisions  concerning,  474  to  527, 

551   to  555. 
Improvement   of,   474. 
In  combat,  replenishment  of,  551,  858. 
Maximum  and  minimum  list  of,  782,  788, 

830. 
New  remedies,  474. 
Nomenclature,   475. 

I'a eking,  methods  and  defects,  500,  863. 
I'urchases  of,  476.  (See  also  Purchases.) 
Uequisitions  for,  477  to  495,  551  to  553. 

(See  also  Requisitions.) 
Transfer  of,  496  to  500. 
Transportation  of,  549,  554. 
See  also  Field  Medical  Sup/ilies,  Medieal 

Property,  and  ^Supply  Tables. 


Medical  Snpply  Depots: 

•Additional,   to  be  established  in   time  of 
war,   612. 

Advance    medical    supply    depot,    787    to 
792. 

Augmentation  of,  in  war.  587. 

Base  medical  supply  depot,  782  to  786. 

(.'orrespondence  record  and  document  file 
system,  380,  402,  405,  406,  564. 

Purchases  at,  476,  488,  786. 

Records,  reports,  and  returns,   563. 

Sec  also  Adrance  Medical  Supplii  Depots 
and  Base  Medical  Supply  Depots. 
Medical  Supply  Officers: 

Action    on    approved    requisitions,     488, 
552. 

Duties  of,  380,  476,  488',  782  to  792. 

See  also  Medical  Supply  Depots. 
Medical  Supply  Tables: 

Hee  E'liiipinoit  Tables  nud  Supply  Tables. 
Medicinal  Preparations,  Nonofflcial: 

FormuLT  of,  902. 
Medicine  Case,  Medical  Officer's: 

Contents   of,    920. 
Medicines : 

Alcohol   and   alcoholic   liquors,   240,   241, 
514. 

Exchange  of,  with  druggists,  517. 

Foi-muliB  of  nonofficial  compounds,  902. 

Habit-forming  drugs,  240.  241,  514. 

Issues  and  sales  to  civilians,  242  to  244. 

Liquors,   240,   241,   514. 

Method  of  accounting  for,  240,  514, 

Poisons,   240,   241,   514. 

I'rcscriptions  for,  240. 
Mess: 

Kitchen  and  mess  attendants,  279. 

Provisions  concerning,  234,  236,  237. 
Mess  Chest: 

Contents  of,  934. 
Messengers : 

Employment  of,  lu3,  108,  113. 
Mess  Manasreinent: 

Genei-al   hospitals,   295. 

Provisions   concerning,   231    to   239,   255. 

See  also  Hospital  Fund. 
JCetcorolofflcal  Oliservations : 

Apparatus  for  and  reports  of,  527. 
Metric  System: 

To  be  used  in  prescriptions,  240. 
Microscope.  Field,  -with  Accessory  Case: 

Contents  of,  950. 
Microscope,  Post : 

Contents  of,  051. 
Microscopical  Supplies,  Supplementary: 

Coutcnis  uf  case,  921. 
Militia  Officers: 

At  Army  Moilical  School,  allowances,  ex- 
penses, graduation,  etc.,   145. 
Militia  Patients: 

Record   of,    on   register    of    patients    and 
report  of  sick  and  wounded,  438 
Mineral  Oil: 

Requisitions  for,  48G. 


INDEX. 


385 


Mobilization : 

Department  sanitary  inspector's  duty  re- 
garding plans  for,  371. 
Department    surgeon's    duties    regarding, 

366,  370. 
Medical  Department  at  camps  of,  594. 
Of    the    Organized    Militia,    592    to    594. 

832,  833. 
Of  tho  Regular  Army,  831,  833. 
Mobilization  Tamps : 

Camp  liospitals  for,  590. 
Definition  of,  592. 

Duties   of  department   surgeons   concern- 
ing, 366. 
Equipment  for,  596. 

Equipment   of   individuals   and   organiza- 
tions at,  594. 
Instruction  at,  594. 
Letters  and  reports,  595. 
Physical  examinations  at,  594. 
Sanitary  service  at,  control  of,  593. 
Sick  call,  supplies  for,  597. 
Surgeons  of,   503,  507. 
"Vaccinations  at,   594. 
Money  of  Dead  and  of  Patients; 

See  Effais  of  Dead  and  of  Patients. 
Morning  Reports  of  Sick: 

Provisions   coneerning,   208. 
Morning  Reports  of  M'ards: 

Provisions  concerning,  200  to  211. 
Mulps,  Pack : 

Directions   for  loading,   868,   878,  953. 
Museum,  Army  Medical: 

General  provisions,   134,   135. 
See  also  Army  Medical  Museum. 
National  Red  ('ross: 

See  Red  Cross. 
Navy: 

Patients  at  Army  and  Navy  General  Hos- 
pital,  325,  327,  329. 
Patients  at  Fort  Bayard,  335,  341. 
Nomenclature  of  Diseases : 

For  register  of  dental  patients,  470. 
For  register  of  patients,  455. 
Nomenclature  of  Supply  Tallies: 

To    he    followed    on    supply    papers,    475, 
484. 
Nominal  Check  Lists: 

With  reports  of  sick  and  wounded,  457, 
460. 
Nominal  Lists: 

Of  patients  transferred,  583,  584. 
Nose,  Ear,  and  Throat  Case: 

Contents  of,  912. 
Nurse  Corps; 

Allowances,  50,  80  to  90. 

Appointments,  56,  57,  62  to  67. 

Assignments,  57,  74  to  77. 

Badge,  97. 

Changes  of  station  or  status,  reports  of, 

76,  100. 
Chief  nurses,  50  to  01,  78  to  80,  311. 
Cliief  nurses'  assistants,  315. 
Commutation  of  quarters,  56! 
Commutation  of  rations,  81,  328. 
Constitution  of,  56. 


Xurse  Corps — Continued. 

Deaths,  reports  of,  100. 

Dietists,  239,  290. 

Discharges  from,  56,  57,  00,  68  to  73 
87,  100. 

Discipline,  57. 

Duties,  311  to  314. 

Efficiency  reports,  99. 

Examination.s,  candidates  for  appoint- 
ment and  promotion,  '50,  57,  59  03 
04,  396. 

Head  nurse,  313. 

Inspections  hy  superintendent,  57. 

Laundering  of  uniforms,  96,  207. 

Law  establishing,  56. 

Leaves  of  absence,  56,  76,  89  to  92. 

Letter  of  appointment.  Indorsements  on 
76,  79,  88. 

Medical  attendance  to  members  of,  56,  86 

Mess,  81. 

Misconduct,  60,  68,  69,  71,  73. 

Pay  and  payments,  50,  01,  78,  79. 

Personnel   for  general   hospitals,   289. 

Physical  examination  on  first  joining,  74. 

Promotions  to  chief  nurse,  57   io  59,'  01.' 

Qualifications  for  appointment,  56,  62  to 
64,  67. 

Quarters,  56,  80,  311. 

Record  of  assignment  and  pay,  76. 

Reports  and  returns,  60,  75,  76  98  to 
100. 

Reserve  nurses,  56,  102. 

Resignations,  68,  70,  71, 

Sickness  of  nurses,  to  be  reported  to 
surgeons,  811. 

Stations  and  tours  of  duty,  74  to  77. 

Subsistence,  56,  81,  328. 

Superintendent,  50,  57. 

Supervising  night  nurse,  312. 

Surplus  nurses,  75. 

Transfers  of  nurses,  57,  70,  77,  99,  100. 

Transportation  and  traveling  expenses 
56,  72,  73,  82  to  85. 

Uniforms,  93  to  97,  267. 

Vaccination  of,  88. 
Nurses : 

Female  (mot  in  Nurse  Corps),  103  to 
107. 

Hospital  Corps  privates  to  do  duty  as 
33. 

Male,  103  to  107. 

Red   Cross,  ,536. 

Reserve,   102. 

Volunteers  for  field  service,  537  to  541. 

See  also  Nurse  Corps. 
Obstetrical  Bag: 

Contents  of,  905. 
Officers : 

At  Army  and  Navy  General  Hospital, 
see  Artny  and  Xary  General  Hospital. 

At  Fort  Bayard,  see  Fort  Bayard. 
Deaths  of,  reports  of,  218,  219. 

Line  or  staff,  detailed  with  Medical  De- 
partment, 532. 

Medical,  see  Medical  Officers, 
Militia,  see  Militia  Officers. 


386 


INDEX. 


OtBcerg — Continued. 

Physical  examinations  of,  384,  385,  386 
to  390,  396.  (See  also  Physical  E-e- 
aminations.) 

Sick  In   quarters,   350. 
Oil,  Mineral: 

Requisitions  for,  486. 
Operating  Case,  General: 

Contents  of,  916. 
Operating  Case,  Tocket: 

Contents  of,  923. 
Operating  Case,  Small: 

Contents  of,  922. 
Operations,  Dental: 

Abbreviations  for,  471. 
Operations,  Surgical: 

Record  of,  on  register  of  patients,  449. 

Reports  of,  418  to  420. 
Opium : 

Precautions  regarding,  240,  241,  514. 
Ordnance  Department  Property: 

Brought  in  by  patients,  227,  640,  G49. 

Reports  and  returns,  227,  398. 
Ordnance  Department  Supplies: 

Horse  equipments  lor  Hospital  Corps, 
943. 

See  also  Equipment  Tables. 
Organization  of  Medical  Department: 

In  time  of  war,  586. 

See  also  Medical  Department. 
Organized  Militia: 

At  mobilization  camps,  592  to  597. 

Mobilization  of,  592,  832. 

Physical  examinations  of,  396. 
Pacli-Anlmal  Equipment: 

Boxes  for,  909. 

Saddle  and  accessories,  953. 
Packers,  ClTllian: 

Employment  of,  103,  108,  113. 
Packers'  Lists: 

Use  of,  496. 
Packsaddle ; 

Boxes  for  use  with,  909. 

Directions  for  use  of,  953. 

Saddle  and  accessories,  953. 
Paqnelln's  Thermocautery : 

Contents  of,   957. 
Paratyphoid  FeTer: 

Diagnosis  of,   190. 

Reports  of,  201  to  203. 

Study  of,   190. 
Pathological  Specimens : 

See  Specimens. 
Patients : 

Arms  and  equipment,  disposition  of,  on 
the  field,  649. 

Arms  and  equipment,  disposition  of,  on 
the  march,  640. 

Disposition  of,  on  the  march,  638,  639, 
641. 

Effects  of,  221  to  226.  (See  also  Ef- 
fects of  Patients.) 

Horses,   disposition   of,   640. 

See   also   Hospital  Rules,  Hospital  Serv- 
ice, and   Medical  Attendance. 
Patients,   Dental  Register  of: 

Rules  for  keeping,  465  to  472. 


Patients,  Register  of: 

General  provisions,  427  to  456. 

See  also  Register  of  Patients. 
Pay: 

Candidates  for  Medical  Corps,  8. 
Civilian    employees,    103,    105,    106,    110, 
113,  117. 

Contract  surgeons,  51,  52. 

Dental  Corps,  20. 

Hospital  matrons,  265  to  269. 

Medical  Corps,  2. 

Medical   Reserve  Corps,   14. 

Nurse  Corps,  56,  61,  78,  79. 
Perfumery : 

Issue  of  medical  property  for,  518. 
Personal  Reports: 
Acting  dental  surgeons,   .32. 

Contract  surgeons,   55. 

Dental  surgeons,  32. 

Medical  Corps,  12,  13. 

Medical  Reserve  Corps,  18,  19. 
Personnel,  Sanitary: 

In  time  of  war,  153,  532. 

See  also  Sanitary  Personnel. 
Photographic  Supplies: 

Ice,  264. 

Requisitions  for,  486. 

Supply  table,  847. 
Physical  Examinations: 

Acting  dental  surgeons,  for  contract,  24. 

Applicants  for  enlistment,   391. 

Army    and    Navy    General    Hospital,    for 
admission,  396. 

Army,  commissions  in,  384. 

At  concentration  camps,  599. 

At  mobilization  camps,  594. 

Aviation   service.   389,  395. 

Cadets  at  Military  Academy,  383. 

Civilians,    preparatory    to    field    service, 
589,  594. 

Color  sense,  vision,  and  hearing,  397. 

Contract  surgeons,  for  appointment,  53. 

Dental    Corps,    candidates    for    commis- 
sion, 28. 

Deserters,  393. 

Enlisted  men,  aviation  service,  395. 

Enlisted   men,  for  discliarge,  394. 

Enlisted   men.   identification    record,    392. 

Fort  Bayard,  for  admission,  396. 

Hearing,  color  sense,  and  vision,  397. 

Hospital  Corps,   for   sergeants  first   class 
and  sergeants,  35. 

Insane,     for    admission     to    Government 
Hospital,  896. 

Medical    Corps,    candidates    for    commis- 
sion, 5,  9. 

Medical  C!orps,  for  promotion,  11. 

Medical    Reserve    Corps,    candidates    for 
commission,  16. 

Medical   Reserve   Corps,   on   first  assign- 
ment and  upon  discharge,  17. 

Military  Academy,  cadets.  383. 

Military  Academy,  candidates,  382. 

Nurse  Corps,  for  appointment,  63. 

Nurse  Corps,  on  first  assignment,  74. 

Officers,  annual,  390. 

Ofilcers,  aviation  service,  389. 


INDEX. 


387 


Physical  Examluailons — Continued. 
Officers,  promotion,  3SG. 
Officers,  retirement,  387. 
Officers,  sick  leave,  388. 
Organized  Militia,  396,  594. 
Troops,  preparatory  to  field  service,  589. 
Vision,  color  sense,  and  hearing-,  397. 
Volunteers,  commissions  in,  383. 
Plaster,  Adhesive: 

Issue  of,  to  line  troops,  84.5  note. 
Pocket  Case : 

Contents  of,  923. 
Poisoning: 

Record  of,  on  register  of  patients,  4.">n. 
Poisons : 

Precautions    concernins?,    240,    241,    270, 
514. 
Portable  Dental  Outfit: 

Contents  of,  854. 
Post  Exchanges : 

Dividends,  248,  249. 

Medical  and  hospital  care  of  civilian  em- 
ployees of,  346. 
Post  Gardens: 
Dividends,  248. 
Gratuities  to  gardener,  255. 
Post  Hospitals: 

Augmentation  of,  in  war,  587. 
Patients    may     be    given     light    employ- 
ment, 281. 
Reports  and  returns,  281,  398. 
Surgeon's  duties,  281. 
Surgeon's    relation    to    post    commander, 

281. 
See  also  Hospital  Service, 
Post  Medical  Supplies: 

Based  on  population,  842. 
Identification  supplies,  847. 
Laboratory  supplies,  846. 
Medicines  and  antiseptics,  843. 
Miscellaneous  supplies,  845. 
Requisitions  for,  477  to  488. 
Stationery,   844. 
X-ray   supplies,    848. 

See  also   Medical   Suppjies,   Reguisitionti, 
and  Returns  of  Medical  Property. 
Post-Mortem  Case : 

Contents  of,  924. 
Posts,  Ahandonment  of; 

Disposition  of  medical  property,  511. 
Records  and  reports,  425. 
Posts,  Medical  Histories  of: 
General  provisions,  412. 
See  also  Medical  Ristonj  of  Post. 
Posts,  Supplies  for: 
Table,  842  to  848. 
See  also  Post  Medical  Supplies. 
Prescriptions : 

Books  for  filing,  844. 
Provisions  concerning,  240  to  242. 
Prisoners  of  War: 

Captured  sanitary  personnel,  547. 
Hospitals  for,  586,  611. 
Private  Practice: 

Of  civilian  practitioners  on  military  res- 
ervations, 348 
Of   medical  officers,    347. 


Private  Property: 

Of  patients  in  hospitals,  and  on  route  to 
hospitals,    221    to   220,   279,    293    301 
303. 
Privates,    and    Privates    First    Class,    Hospital 
Corps : 

See  Hospital  Corps. 
Promotion: 

Civilian  employees,  113  to  118,  125. 

Dental  Corps,  20,  26. 

Medical  Corps,  2,   10,   11. 

Nurse  Corps,  57  to  59,  61. 

I'hysical  examinations  of  officers  for,  386, 
Property  Cards: 

How    used,    221,   227,    30.3. 
Property,  Dental: 

Returns  of.   508. 
Property,  Durable: 

General  provisions,  2.59  to  261. 

Sales   of,    248. 

See  also  Hospital  Fund. 
Property,  Medical: 

See   Medical   Property. 
Property,  Private: 

See    Private   Property. 
Property,  Public: 

See  Public  Property. 
Property  Returns: 

See    Returns    and    Returns    of    Medical 
Property. 
Prophylaxis  Unit,  Venereal: 

Contents  of,  958. 
Publication : 

Articles  for,  423. 
Public  Health  Service; 

Admission    of    officers    of,    to    Army    and 
Navy  General  Hospital,  326. 
Public  Property: 

Arms   and   equipments   of   patients   sepa- 
rated from  their  commands,   640,   649. 

Care  of  in  hospitals,  279,  512  to  526. 

Destroyed  to  prevent  contagion,  230. 

Disinfection   of,   230. 

Transferred    with    Hospital    Corps    men, 
48,  49. 

With  patients  admitted  to  hospitals,  227, 
279,  304. 

See  also  Medical  Property  and  Returns  of 
Property. 
Purchases: 

Antitoxins,   843  note. 

Army   and    Navy    General    Hospital,    sub- 
sistence stores,  332. 

Army  Medical  School,  141. 

Authority  for,  476,  786. 

Base  medical  supply  depots,  786. 

Depots,  476,  488,  786. 

Durable  property,  259. 

Hospital  fund,  231,  256,  259. 

Ice,  264. 

Invoices  of  articles  purchased,  377,  476. 

Local  and  post,  476. 

Serums,   843  note. 

Surgeon,  base  group,  to  authorize  when, 
786,  819. 

Unauthorized,  476 


388 


INDEX. 


Pus: 

Laboratory  examination  of,  352. 
Quartermaster  Corps : 

Allowance   of   men   for  general   hospitals, 

289. 
Duties  of  the  sever.il  grades,  289. 
Quartermaster  Corps  Reports  and  Returns: 
From   Medical    Department   units   in    the 

field,  558. 
Quartermaster   Property: 

Brought    in    by    patients,    227,    304,    04.), 

649. 
Quartermasters: 

Of  general  hospitals,  290,  294. 
Quarters : 

Civilian  employees.   103,   107. 
Nurse  Corps,   56,  80,  311. 
Sergeants  first  class.  Hospital  Corps,  245. 
Railway  Cars: 

Capacity  of  different  classes  of,  870  note. 
Rations  in  Kind: 

Civilian   employees,   105,   106. 
Hospital   matrons.   26.5,   266. 
Hospitals,  when  to  be  Issued,  232. 
Nurse  Corps,  81. 
See    also    Commufafion    of    Rations    and 

Subsistence. 
Receipts : 

For  hospital-fund  payments,  254,  261. 
For    medical    supplies    transferred,    475, 

496  to  500,  503.  551. 
For  meteorological  instruments,  527. 
Records,  Reports,  and  Returns  from  the  tSeveral 

Medical  Offices  and  Orifanizatlons : 
Ambulance  companies,  163,  165,  562,  6S0, 

684. 
Army  Medical   School,   139. 
Attending  surgeons,   375. 
Base  medical  supply  depots,  563,  782. 
Chief  surgeons,  field  army,  830. 
Convalescent  camps,  608. 
Department  laboratories,  360. 
Department  sanitary  inspectors,  373,  374. 
Department  surgeons,  365,  369,  370. 
Detachment    commanders,    40,    41,    45    to 

47,  49,  50,   178. 
Directors    of    ambulance    companies    and 

field  hospitals,  652,  654. 
Disbursing  officers,  379. 
Division  sanitary  inspectors,  747,  748. 
Division   surgeons.  561,  573,  744. 
Evacuation    ambulance    companies,    5t'i2. 

583. 
Evacuation  hospitals,  562,  803. 
Field   hospitals,   103,    165,  562,   704,   709. 
General    hospitals,    287,    292,    293,    294, 

296,  299,  302. 
Hospital  ship.s,  562,  583,  584,  625. 
Hospital  trains,  562,  583,  584,  617. 
Medical  superintendents.  Army  Transport 

Service,    424. 
Medical  supply  depots,  380,  .563. 
Medical   supply  officers,   3,80,  782. 
Post  hospitals.  281. 
Ships  for  patients,  562,  583,  584,  625. 
Stations  fur  slightly   wounded,  580,   713.   | 


Records,  Reports,  and  Retnrng,  etc. — Contd. 

Surgeons,  base  group,  561,  788,  819. 

Surgeons  of  posts,  281. 

Trains  for  patients,  562,  583,  584,  617. 

See  also  Correspondence. 
Records,   Reports,   and   Returns,   General  Pro- 
visions : 

Abandonment  of  posts,  426. 

Authentication    of,    400. 

Births,  401. 

Channels    through    which    forwarded,    in 
the  field,   .557. 

Deaths,   401. 

Dispo.sition  of  old  records,  426,  566. 

Disposition,    on    abandonment    of    posts, 
425. 

Field  commands,  556  to  584. 

General  article  on,  .398  to  473. 

Indelible    pencil,    use   of,    in    preparation 
of,  565. 

List  of,  those  required  in  war,  558. 

List  of,  usually  required  from  posts,  .398, 
399. 

Marriages,    459. 

Special   reports  and  articles  for  publica- 
tion, 421  to  423. 
Kocruitrng  Outfit,  Emergency: 

Contents  of,   952. 
Kecrnlts : 

Identification  record,  392, 
Red  Cross; 

Application  for  services,  by   Secretary  of 
War,   5636. 

Brassards  and  certificates  of  identity  for, 
536e,  542  to  544. 

Character  of  employment,  536rf. 

Constitutes  part  of  sanitary  service,  532, 
536a. 

Director  general  to  supervise,  536;. 

Discipline,  536c,  536/. 

Emblem,  546. 

Equipment,  536(j'. 

Field  columns,  153,  530fc,  536J.     - 

Flag,  545. 

Forage,   536s. 

General  provisions,  535,  536. 

IIo,spital  columns,  153,  290,  536Jk,  536m. 

Information  bureau  sections,  530/i-,  530o. 

Insignia.  542,  545,  546. 

Medical  officers  to  command,  530/. 

Medical  officers  to  inspect,  536.f7,  530p. 

Not  to  establish  independent  Institutions, 
536e. 

Nurses,  reserve,  102. 

Personnel,  classes  of,  furnished,  536/(. 

Personnel,   classification   of,  for  training, 
53(!/. 

Personnel,   for  general  hospitals,   289. 

Personnel    subject   to    ifiilitary    laws    and 
regulations,  536p. 

Personnel,     transportation     and     subsist- 
ence of,   530r. 

Personnel,  use  of  in  war,  587. 

I'rotectlon   affonied    by,   547   to   550. 

Quarters,   53G<, 


INDEX. 


389 


Red  Cross — Continued. 

Register     in     Surgeon     General's     Office, 

536/). 
Regulations,  536. 
Reserve  nurses,  102. 
Supplies,  transportation  of,  5?>Gr. 
Supply  columns,  536fc,  536n. 
Training  of,  536t. 
Uniform,  536(?. 
Reduction : 

Chief  nurses,  57,  60. 

Civilian    employees,    105,    106,    110,    113, 
116  to  118,  126. 
Regimental  Aid  Station: 

General  provisions,  633,  642  to  650. 
See  also  Aid  Slation. 
Regimental  Ambulances: 

Station  on  march,  637  to  630. 
Regimental  Combat  Equipment: 
Articles  kept  in  stoi'e,  866. 
Articles  not  kept  in  store,  867. 
Distribution  of,  in  peace,  504  to  506. 
How  carried,   633,   866  notes,   867  notes, 

868. 
Loading  table  for  mule,  868. 
Supply  table,  866,  867. 
Use  of,  except  in  combat,  prohibited,  633. 
Weight  carried  by  pack  animal,  868. 
Weight  of,  as  stored,  866. 
Regimental  Hospital  Equipment; 

As  a  nucleus  for  camp  hospital,  604,  886. 
Camp  infirmary  e()\iipment  as  a   nucleus, 

872. 
Cubic  measurement  as  stored,  872. 
Distribution  of,  in  time  of  peace,  504  to 

506. 
One   equipment   "A"   to   be   kept  in   each 

medical  reserve  unit,  891  note. 
Supply  table,  872. 
Weight  carried  by  wagon,  873. 
Weight  of,  as  stored,  872. 
Regimental  Medical  Service: 
Aid  stations,  042  to  650. 
Disposition    of   sick    on    the    march,    637 

to  641. 
Duties    of    regimental    sanitary    detach- 
ment, 635,  042,  643. 
Duties  of  regimental  surgeons,  634,  647. 
Equipment,  distribution  of,  in  peace,  504 

to  506. 
Equipment  for,  632,  633. 
In  camp,  634. 
In  combat,  642  to  650. 
On  the  march,  635  to  641. 
Personnel  for,  631. 
Sanitary  squads  prohibited,  777. 
Stations    of   sanitary    personnel    in    com- 
bat, 636. 
Stations    of    sanitary    personnel    on    the 

march,  636. 
With  cavalry  divisions,  742. 
Register,  Malarial : 

I'rovisions  concerning,   195   to   107. 
Register  of  Dental  Patients: 

Rules  for  keeping,  465  to  472. 


Register  of  Patients; 

Additions  to  and  alterations  of,  436. 

Admission,  cause  of,  446,  455,  456. 

Admission,  dale  of,  433. 

Admission,  source  of,  445. 

Age  of  patients,  439. 

Applicants  for  enlistment,  description 
of,  438. 

Authentication  of,  435. 

Capture  of  patient,  record  of,  450. 

Cards  to  be  continued  until  cases  are 
completed,  433. 

Cards  to  be  made,  when,  208,  209,  210, 
217,  431,  432. 

Cases  to  be  carded,  217,  428  to  431. 

Cause  of  admission,  446,  455. 

Cause  of  admission,  special  require- 
ments concerning,  456. 

Change  of  status,  patients  in  hospital, 
new  cards  required  when,  431. 

Civilian  patients,  description  of,  438. 

Classification  of  cards,  453. 

Company  of  patient,  record  of,  438. 

Completion  of  case,  what  constitutes, 
450. 

Complications,    sequelse,    etc.,    record    of, 

449. 
Corps  of  patient,  record  of,  438. 
Corrections  of,  436. 
Death  of  patient,  record  of,  428,  450. 
Dental  cases,  when  to  be  carded  on,  430. 
Description  of  patient,  438. 
Desertion  of  patient,  record  of,  450. 
Diagnosis,  change  of,  211  to  213,  449. 
Diagnosis,  record  of,  446,  455,  456. 
Disabilities,  rule  for  recording,  455,  456. 
Discharged  soldiers,  description  of,  438. 
Discharge  of  patient,   record  of,  450. 
Diseases,  nomenclature  of,-  446,  455. 
Dismissal  of  patient,  record  of,  431,  450. 
Disposition    of   patient,    record    of,    433, 

450,  451. 
Duty,  line  of,  448,  449. 
Duty,  return  to,  of  patient,  450. 
Entries  on,  how  made,  434. 
Extension  slips,  434. 
Files,  432. 

Furlough  of  patient,  record  of,  450. 
Index  to,  432. 

Intercurrent  diseases,  record  of,  446,  449. 
Leave    of   absence   of    patient,    record    of, 

428,  450. 
Length  of  service  of  patient,  442. 
Militia  patients,  description  of,  438. 
Name  of  patient,  record  of,  437. 
Nativity  of  patient,  record  of,  441. 
Place  of  treatment,  quarters  or  hospital, 

447. 
Place  of  treatment,  ward,  210. 
Race  of  patient,  440. 
Rank  of  patient,  438. 
Regiment  of  patient,  43S. 
Register  numbers,   432,   443. 
Resignation  of  patient,  record  of,  450. 
Retirement  of  patient,  record  of,   450. 


390 


INDEX. 


Register  of  Patients — Continued. 

Senior    medical    officer    responsible    for, 

435. 
Signatures  to,  435. 
Supplemental  cards,  436,  464. 
Surgical  operations,  record  of,  449. 
Transfer  of  patient,  record  of,  210,  450. 
Treatment,  days  of,  table,  454. 
Register,  Syphilitic : 

Provisions  concerning,  200. 
Repairs : 

Furniture,  522. 

Hospital  bedding  and  clothing,  266,  269, 

523. 
Hospital  buildings,  245,  246. 
Instruments.   521. 
"  Replacing  Medleal  Supplies  "  : 

Appropriation,  510. 
Reports  and  Returns : 

List  of  those  recjuircd  in  peace,  -SOS. 
List  of  those  required  in  war,  558. 
See  also  Records,  Reports,  and  Returns. 
Reports,  Miscellaneous : 
Births  and  deaths,   401. 
Civilian     employees,     see     Civilian     Em- 
ployees. 
Deaths,  218,  219,  401. 
Dental  work,  473. 
Documents,  useless,  426. 
Epidemic  diseases,  201  to  203. 
Examining  boards,  contract  surgeons,  53. 
Examining  boards.  Dental  Corps,  23,  24, 

30. 
Examining  boards,  Hospital  Corps,  35. 
Examining  boards.  Medical  Corps,  6. 
Examining  boards.  Medical  Reserve  Corps, 

16,  17. 
General  hospitals,  condition  of  patients, 

287. 
Hospital   buildings,   or   quarters   for   ser- 
geants    first     class.     Hospital     Corps, 

progress  of  work  on,  245. 
Hospital    Corps,    changes    of    stations    or 

status,  45,  46,  47,  219. 
Hospital    Corps,    instruction,    164,    178, 

180. 
Hospital    safe,    change    of    combination, 

247. 
Inspections,  sanitary,  373,  374,  626,  747, 

748,  827. 
List  of  sick  and  wounded,  575  to  584, 
.  Meteorological,    527. 
Morning  reports  of  sick,  208. 
Nurse   Corps,    60,    67,   69,   75,    76,   98    to 

100. 
Patients,  dally,  in  the  field,  558. 
Personal,  see  Personal  Reports. 
Posts,  abandonment  of,  425. 
Sanitary  personnel  and  transportation  in 

the   field,   daily,   558. 
Sanitary  personnel  on  transports,  424. 
Special,  421,   422. 
Surgical,  418  to  420. 
See  also  Records  and  Returns. 
teports  of  Sick  and  Wounded: 
Alterations  of.  400,  403,  404. 
Authentication  of,  460,  463,  464. 


Reports  of  Sick  and  Wounded — Continued. 
Births,   record  of,  459. 
Commands,  from  what  required,  458. 
Correction  cards,  463,  464. 
Corrections,  460,  462  to  464. 
Deaths,  record  of,  459. 
Department  surgeon's  action,  461. 
General    provisions    concerning,    457    t» 

464. 
Marriages,  record  of,  459. 
Signatures,  459. 

Transmittal  of,  time  and  channel,  458. 
See  also  List  of  .Siffc  and  Wounded. 
Requisitions : 

Annual  requisitions,  post  supplies,  477  to 

481. 
Base  medical  supply  depots,  551. 
Blank  forms  and  books,  960  to  965. 
Blank  forms  in  the  theater  of  operations, 

551. 
Clinical  thermometers,  845  note. 
Coal,  486. 

Combat,  replenishment  in,  551. 
Dental  supplies,  491  to  495. 
Department  surgeons,  action  of,  481,  487, 

489,  492. 
Divisional   troops,   552. 
Division  surgeon,  action  of,  552. 
Electric  current,  486. 
Emergency  requisitions,  485,  487,  495. 
Evacuation  ambulance  companies,  552. 
Evacuation  hospitals,  552. 
■  Field  medical  supplies,  489,  490,  504. 
Field    organizations,    general    provisions, 

551   to  553. 
Gas,  486. 

Identification  supplies,  486. 
Line  of  communications,  551,  552. 
Medical  supply  officers,  action  of,  488, 
Meteorological  instruments,  527. 
Mineral  oil,  486. 
Nomenclature,  475. 
Photographic  apparatus,  486. 
Post   medical    supplies,    annual    and    spe- 
cial, 477  to  488. 
Service  of  the  interior,  troops  in,  553. 
Special  requisitions,  field  supplies,  490. 
Special    requisitions,    post    supplies,    482 

to  488. 
Subposts  and  camps,  486. 
Surgeon,  advance  group,    action   of,   552. 
Surgeon,  base  group,  action  of,  552. 
Theater  of  operations,   troops  in,   552. 
Unserviceable  property,  replacement,  486. 
Window  shades,  845  note. 
Reserve  Nurses : 

General  provisions,  102. 
See  also  ^'urse  Corps. 
Rest  Stations : 

Duties  of,  780.  781. 
Equipment  for,  781. 
Line  of  communications,  780,  781. 
Location,  618,  781. 
Personnel  of,  618,  780,  781. 
Service  of  interior,  618. 
Restraint  Apparatus: 
Contents  of.  904. 


INDEX. 


891 


B£gniii6  of  the  Sanitary  Srrvirp  In  War: 
Combat.  83G. 

Concentration  camps,  833. 
Equipment  of  troops,   831,   832. 
Evacuation  of  wounded,  835  to  839. 
Line  of  communications,   838. 
Lines  of  aid,  836  to  839. 
Mobilization,  Organized  Militia,  832. 
Mobilization,  Regular  Army,  831. 
Physical   examinations,  831,  832. 
Prophylactic   measures,    831,   832. 
Replacement  of  losses,  8-tO. 
Supplies   for   the   front,   835,   839,   841. 
Training  at  concentration  camps,   833. 
Training  at  mobolizatlon  camps,  832. 
Zone  of  the  advance,  835. 
Retired  Officers  and  Enlisted  Men: 

Assigned  to  active  duty,  and  on  register 

of  patients,  448. 
Treatment    at    Army    and    Navy    General 

Hospital,   321,  322  to  324,   329. 
Treatment  at  Fort  Bayard,  335,  338. 
Betirement : 

Dental  surgeons,  20. 

Medical   Reserve  Corps,  14. 

Physical  examinations  for,  387. 

Record    of,    on    register    of   patients    and 

reports  of  sick  and  wounded,  428,  431, 

450. 
Betnrns : 

Casualties,  558,  579. 

Dental  property,  508. 

Field  supplies,  507. 

Hospital  Corps,  50,  180. 

Hospital  fund  property,  260  to  262. 

List  of  those  required  in  peace,  398. 

List  of  those  required  in  war,  558. 

Medical     property,      general      provisions, 

507,  508.      (See  also  Returns  of  Medi- 
cal Property.) 
Meteorological  instruments,   527. 
Nurse  Corps,  98. 
Ordnance  property,  398. 
Quartermaster  Corps  property,   398,  558. 
See  also   Records,  Reports,  and  Returns. 
Betorns  of  Medical  Property: 
Army  Medical  School,  141. 
Broken  packages,  503. 
Complete  transfers,  507. 
Complete  transfers  to  be  receipted  for  on 

return,  497. 
Dental  supplies,  508. 
Destroyed  to  prevent  contagion,  230. 
Directions  for  preparing,  475. 
Expended,  lost,  or  destroyed,  502. 
Field  supplies,  507. 
Field    supplies    on    memorandum    receipt, 

504. 
Found  at  post,  501. 
Issued  for  personal  use,  507. 
Medical  supply  officers,  380. 
Portable  dental  outfit,  annually,  507. 
Received  with  patients,  227. 
Surgical  appliances  with  men  discharged 

from  service,   229. 
BevleTT,  Boards  of: 

Law  establishing,   2. 


SaiMlc,  Pack: 

Accessories,  953. 

Boxes  for  use  with,  909. 
Safe,  Hospital: 

Combination  of,   247. 
Sales : 

Accounts  of,  509,  510. 

Civilians    and    civilian    employees,    medi- 
cines for,  242  to  244. 

Civilians    in    hospital,   abandoned    effects 
of,  226. 

Hospital  fund  property,  248,  259. 
Sanitary  Establishments  and  Formations: 

Guards  for,  550. 

Insignia  of,  545. 

See    also    Sanitary   Personnel    and    Sani- 
tary   Service;     also    for    the    several 
kinds    or    formations,    their    respective 
designations. 
Sanitary  Inspections : 

Divisions,   744,   746. 

Line  of  communication  units,  827. 

Posts,   by  sanitary  inspectors,   373. 

Posts,  by  surgeons,  182,  414  to  417. 

Regiments,  by  surgeons,  634. 

Service  of  interior  units,   626. 

Troop   trains,  590. 
Sanitary  Inspectors: 

Department,  371  to  374. 

Division,   746  to  750. 

Line  of  communications,  827. 

Service  of  the  interior,  626. 
Sanitary  Materiel: 

Captured,   548. 

Insignia  of,   546. 

Status  of  in  war,  548,  549. 

See   also   Medical  Supplies. 
Sanitary  Personnel: 

Conduct  of,  to  insure  immunity,  547. 

Distribution  of  in  war,   153. 

General   enumeration   of,   532. 

Immunities  in  war,   547. 

Insignia  of,   542. 

Number  of,  allowed,   585. 

Required  in  war,  153. 

Status  of,   547. 

Training  necessary,   148.   149,  627. 

See  also  the  several  units  under  their  re- 
spective designations. 
Sanitary  Reports: 

By  department  sanitary  inspectors,   373, 
374. 

By  division  sanitary  inspectors,  747,  748. 

By  surgeons  of  posts  or  commands,  182, 
198,  202,  412,  414  to  416. 
Sanitary  Service  in  War: 

Correspondence,  reports,  returns,  and  rec- 
ords, 556  to  584. 

Duties  of  department  surgeons,  366,  593, 
594. 

Duties   of   the   Medical   Department,   531. 

Efficiency  of,  14S,  149,  627  to  629. 

Field  service,  branches  of,  528,  529, 

Guards  for,  550. 

Individual  voluntary  aid,  537  to  541. 

Insignia  of  personnel,  formations  and  ma- 
teriel,  542   to  546. 


392 


INDEX. 


Sanitary  Service  in  War — Continued. 

Line  of  communications,  751  to  827. 

Medical  supplies,   551   to  555. 

Objects  of  Medical  Depai-tmcnt,  530. 

Organization  in  war,  585,  586. 

Organized  voluntary  aid,   535,  536. 

Personnel   of,    532. 

Resume  of  operations,  831  to  841. 

Service  of  interior,  587  to  626. 

Status  of  sanitary   personnel    and   mate- 
riel, 547  to  549. 

Theater  of  operations,  administration  of, 
828  to  8.30. 

Titles  of  medical  officers,  534. 

Zone  of  the  advance,  630  to  750. 

See  also  Saniiary  Personnel  and  the  sev- 
eral Medical  Department  organizations 
under  their  respective  names. 
Sanitary  Squads: 

Provisions   concerning,    586,   750,   774   to 
777. 
Sanitary  Train: 

Ambulance  companies  on  the  march,  721. 

Camp  iuflrmaries  on  the  march,  723,  724. 

Command  of,  051,  716. 

Composition  of.   651. 

Control  of,  717  to  720. 

Distribution  of  elements  of,  on  the  march 
and  in  camp,  717  to  724. 

Division  surgeou"s  relation  to,  716. 

I'Teld  hospitals  on  the  march,  722. 

In  combat,  725,  720. 
Sanitary  Troops: 

Persons  included  by  the  term,  532. 

See  also  Sanitari/  Pel  sonnel  and  Swnitwry 
Service;  also  the  several  Medical  De- 
partment units  under  their  respective 
names. 
Sanitary  Troops  on  Duty  with  Line  Ur§ranlza- 
tions : 

General  provisions,  631  to  650. 

See  also  Regimental  Medical  Service. 
Sanitation : 

Direct  responsibility  of  commanding  offi- 
cers, 362. 

Duties   of   medical    officers   in    regard    to, 
182,  183. 

General    provisions    concerning,     182    to 
203. 

Infectious  diseases,  183  to  200. 

Medical    officers    to    act    as    sanitary    ad- 
visers, 362. 

Mobilization  camps,  594. 

Sanitary  detachments,  634. 

Sanitary  squads,  750,  774  to  777. 
Sehools : 

Army   Field   Service  and  Correspondence, 
147. 

Army  Medical,  136  to  146. 
Seamen.  Transport  Service : 

Allowances  in  Army  hospitals,  250. 
Serpreanls.   and  Serjeants  First  Class,  Hospital 
(Jorps : 

General  provisions,  34  to  36. 

See  also  Hospital  Corps. 


Serums : 

Allowances,  see  Supply  Tables. 
Purchase   of,    843    note. 
Requisitions  for,  843  note. 
To  be  kept  at  depots  on  line  of  communi- 
cations, 891   note. 
Service  Kits: 

Hospital  Corps,  865. 
Service  of  Hospitals: 

General  provisions,  205  to  270. 
See  also  Hospital  Service. 
Service  of  the  Interior: 
Description  of,  528,  529. 
General    provisions    concerning,    587    to 
591. 
Shell- Wound  Dressing: 

Contents  of,  946. 
Ships  for  Patients; 

I'rovisions   concerning,   G19   to   625,    709, 

772. 
See   also   Hospital  Ships. 
Sick  and  W^ounded: 

Bed  capacity,  necessary  in  war,  153. 
Care  in  handling  of,  689. 
Classification  of,  028,  702,  826. 
Disposition   of,   on   the   march,   638,   041, 

700. 
Estimated  number  in  war,  152,  153. 
Records  of,  in  peace,  427  to  464. 
Records  of,  in  war,  567  to  584. 
Sick  Call: 

At  concentration  camps,  601. 
At  divisional  camps,  665. 
At  mobilization  camps,  597. 
Provisions  concerning,  206  to  208. 
Sick  Report,  Daily: 

Diseases  due  to  misconduct,  207. 
Smallpox : 

Report  of  appearance  of,  201  to  203. 
Vaccination  for,  88,  192. 
Soldiers : 

See  Knlisted  Men. 
Soldiers'  Home: 

Beneficiaries  of,   treatment  at  Fort   Bay- 
ard,   337,    340. 
Special  Reports: 

General    provisions    concerning,    421     to 

423. 
Patients  in  general  hospitals,  287. 
Specimens,  Laboratory: 
Containers   for,  355. 

Preservation  and  transportation  of,   135, 
191.  352,  355. 
Spinal  Fluid: 

For  diagnostic  purposes,  352. 
Sputum : 

Laboratory  examination  of,  .^52. 
Squads,  Sanitary: 

Provisions    concerning,   586,    750,    774    to 
777. 
Statements  of  (he  Hospital  Fund: 

Provisions  concerning,  2(iO  to  262. 
Stations  for  Slliflitly  Wounded: 
Closing.   715. 

Defensive  engagements,  726. 
Diagnosis  tags,  use  of,  at,  713. 


INDEX. 


393 


stations  for  Slightly  Wounded — Coutinued. 
Eqnipuiont  and  supplies  for,  666,  710. 
Establishment  and  number  of,  712. 
Evacuation  of,  714. 
Function  of,  711,  713. 
General    provisions    concerning,    710     lo 

715. 
List  of  sick  and  wounded  at,  580,  713. 
Location  of,  712. 
Marking   of,    712. 
Offensive  engagements,  727, 
Opening,  712. 
Personnel   of,  710. 
Rear  guard  actions,  730,  739. 
Records,  reports,  and  returns,  580,  713. 
Sick    to    be  assembled   at,    before    battle, 

727. 
Treatment  at,  character  of-,  713. 
Stations,  Best: 

I'rovisions  concerning,  618,  780,  781. 
Sterilizer  Chest: 

Contents  of,  935. 
Stomach  Contents: 

Laboratory  examination  of,  352. 
Subsistence : 

Army    and    Navy    General    Hospital,    pa- 
tients at,  328  to  332. 
Bayard,  Port,  patients  at,  330  to  343. 
Civilian  employees,  103,  105,   106. 
Hospital  matrons,  265  to  269. 
Militia  oflBcers  at  Army   Medical   School, 

145. 
Nurse  Corps,  81,  328. 
Red  Cross  personnel,  536. 
Seamen   of   Transport    Service,   250. 
Subsistence  Stores; 

Purchase  of,  at  Army  and  Navy  General 
Hospital,  332. 
Superintendent,  Nurse  Corps: 
General  provisions,  57. 
See  also  Nnrse  Corps. 
Supplemental  Cards: 

For  register   of   patients   and   reports   of 
sick  and  wounded,  436,  464. 
Supplies,  Dental: 

Supply  table,  849  to  856. 
See  also  Dental  t^uiiplics. 
Supplies,  General  Hospitals: 

Provisions  concerning,  286. 
Supplies,  Medical: 

See  Mi'dlcal   Property,   Mcd'u-ul   l^iippliex, 
Sanitari/   Materiel,  and  i<upply   Tabh.'<. 
Supplies,   Quartermaster : 

See  Quartermaster  i^upplies. 
Snpply  Ofllcers: 

General  provisions,  380. 
See  also  Mrrlical  Supply   Officers. 
Snpply  Table,  Dental: 

Additional  supplies,   856. 
Base  outfits,   855. 
Chests,  849. 
Portable  outfits,   854. 
Snpply  Table,  Field: 

Abbreviations   explained,  862. 

Advance  depots,   895. 

Ambulance  companies,   874  to  877. 


Supply  Table,  Field — Continued. 

Base  hospitals,  891,  802. 

Base  medical  supply  depots,  894. 

Blank  forms,  emergency  supply,  885. 

Camp  hospitals,  s,S6. 

Camp    infirmaries,    869,    870. 

Camp  infirmary  reserve,  871. 

Chief  surgeon,  field  army,  901. 

Division  surgeon's   office,   884,  885. 

Dressing  stations,  874,  875. 

Evacuation    ambulance    comjianies,    806. 

Evacuation  hospitals,  891,  892. 

Field  hospitals,  879  to  882. 

Field   laboratories,   896. 

Horse   equipments,    Hospital    (.'orps,   943. 

Hospital     Corps,     individual     equipment, 
865. 

Hospital  ships,  898. 

Hospital  trains,  899. 

Medical     officers,     individual    equipment, 
864. 

Quartermaster    supplies,    Equii)ment    Ta- 
bles,  Q.   M.   Supplies  will   govern,   861. 

Quartermaster    supplies,    reasons    for    in- 
cluding, 861. 

Regimental  combat  equipment,  866,  867. 

Regimental  hospitals,  872. 

Reserve  medical  unit,  891. 

Ships  for  patients,  898. 

Surgeon,  base  group,  office,  901. 

Trains  for  patients,  898. 

S(>e  also  Fieh!  Medical  Supplies. 
Supply  Table,  Post: 

Antiseptics,  843. 

Disinfectants,   843. 

Identification  supplies,  847. 

Laboratory  supplies,  846. 

Medicines,  843. 

Miscellaneous,  845. 

Nonofficial    compound    medicinal    prepa- 
rations, formulsB  of,  902. 

I'opulation,  official,  for  computing  allow- 
ances, 842. 

Stationery,  844. 

X-ray  supplies,  848, 
Surgeon,  Advance  Group: 

Duties  of,  823  to  825. 

Function   of,   821,   822. 

Relation  to  surgeon,  base  group,  820. 

Requisitions  for  medical  supplies,  action 
on,  552. 
Surgeon,  Base   Group; 

Civilian  employees,  may  engage,  819. 

Contagious    disease    hospitals,    establish- 
ment of,  767. 

Duties,  general,  817  to  810. 

Duties  when  battle  is  impending,  819. 

Equipment   of  office,   901. 
■    Hospital  ships,  supervision  of,  769. 

Hospital  trains,  operation  of,  769. 

Red  Cross,  control  of,  819. 

Report    on    campaign,    at    conclusion    of, 
561. 

Reports  to  chief  surgeon,  field  army,  819. 

Requisitions  for  medical  supplies,  action 
on,  552,  784,  790,  819. 


394 


INDEX. 


Surgeon,  Base  Group — Continued. 
Status  of,   817. 

Supplies  at  advance  depot,  788. 
Supplies,  local  purchase  of,  786,  810. 
Title,  5.34. 
Voluntary    aid,    individual,    may    accept 

and  direct,   537,  810. 
Voluntary  contributions,  may  accept  and 
expend,  810. 
Surgeons,  Ports  of  Embarkation: 

Duties  of,   610. 
Surgical  Dressings: 

Contents  of  ambulance  box  of,  954. 

Contents  of  box  of,  955. 

Replenishment  of,  in  combat,  551,  6'i3. 
Surgical  Instruments: 

See  Iiistnimcnts.- 
Surgical  Operations: 

Record  of,  on  re;:;ister  of  patients,  440. 

Reports  of,  418  to  420. 
Surgical  Treatment: 

Refusal  of,  220. 
Syphilitic  Register: 

Required,   200. 
Tableware,  Chest  of: 

Contents,   936. 
Teeth,  Classification: 

For  reports  of  dental  work,  471. 
Tentage : 

Directions    for    loading    on    wagons,    8.s:', 
note. 
Tetanus : 

Antitoxin  of,  requisitions  for,  843  note. 
Theater  of  Operations: 

Administration   of,   828   to   830. 

Description   of,    528,    529. 

General  provisions,  627  to  629. 
Thermo-Cantery,  Paquelin's : 

Contents  of,   057. 
Thermometers,  Clinical : 

Requisitions   for,    845   note. 
Throat,  Ear,  and  Nose,  Instrument  Case  for: 

Contents  of,  912. 
Tissues: 

Laboratory  examination  of,   352. 
Titles : 

Medical  officers,  534. 
Tool  Chests: 

Contents  of  No.  1,  937. 

Contents  of  No.  2,   938. 
Tooth-Extracting  Case : 

Contents  of,  925. 
Training: 

Of  Hospital   Corps,   156,   157. 

Of  medical  officers,  148  to  1.53,  157. 

Rod   Cross,   536. 

Responsibility  of  medical  officers  concern- 
ing,  148,   156,   363. 

See  also  Instruction. 
Trains  for  Patients: 

Litter  fittings  for  box  cars,  900. 

Provisions  concerning,  613  to  617,  769  to 
771. 

See  also  Hospital  Trains. 
Trains  for  Troops: 

MedicMl    inspection   of,    590. 
Trains,  Hospital: 

Sec  Hospital  Trains. 


Transfer  Cards: 

Provisions   concerning,    209,   215   to   217, 

583,  584. 
Transfers : 

Civilian  employees,  113,   117,  118, 

Hospital  Corps,  45  to  49. 

Malarial   cases,   197. 

Medical   supplies,   496  to  500. 

Meteorological   instruments,   527. 

Nurse  Corps,  74  to  77. 

Patients,   214  to  217,  583,   584. 

Syphilitic  cases,  200. 

Vaccination,  incomplete  cases  of,  187,  193. 

Venereal   cases,    whether   or   not   on   sick 

report,  198. 
Transportation,  Medical  Department: 
Allowance  of,  for  field  units,  585. 
Authority   over,   549. 
Immunity  from  capture,  549. 
Impressment  of,  629,  823. 
Increased    provisions    of,    for   evacuation 

of  wounded,  629,  809,  823. 
Not  to  be  diverted,  549. 
Rail,  Inspection  of,  590. 
Temporary,  after  battle,  etc.,  629,  823. 
Use  of,  for  medical  supplies,  549. 
See    also    Ambulances,    Hospital    Ships, 

Hospital    Trains,    Sliips   for    Patients, 

and  Trains  for  Patients. 
Transportation   of  Medical   Property   and   Sup- 
plies : 
Capacity  of  railway  cars,  876  note. 
Hospital  ships  may  be  used  for.  624. 
Medical  Department  transportation  to  be 

used   for,   549,   554. 
Railway  cars  reiiuired  for  an  ambulance 

company,   876. 
Railway  cars  required  for  a  field  hospi- 
tal, 881. 
Specimens    for    Army    Medical    Museum, 

135. 
Wheeled      transportation      provided      for 

equipment  "A"  only,  860. 
Transportation  of  the  Sick  and  Wounded: 
Additional   transport   required,   629,   687, 

809,  823. 
Chief   task   of   field   medical   administra- 
tion, 530,  627. 
From  the  aid  stations,  679,  680. 
From  the  base  hospitals,  762,  76.3. 
From  the  battle  field  to  the  aid  stations, 

645,    647. 
From    the    dressing    stations,    671,    682, 

685,  686,  690. 
From  the  evacuation  hospitals,  801,  802, 

819,  825. 
Fi-om   the  field   hospitals,  699,   700,   704, 

706   to   708,    744,   807,    808,    811,    812, 

822. 
From    the   station    for   slightly   wounded, 

714. 
On    lines    of    communication,    754,    819, 

822,    823. 
On    tlie   march,    638,    639. 
Service  of  the  interior,  588. 
See  also  Ambulances  and  Traiisportation, 

Medical  Department. 


INDEX. 


395 


Transport  Serflce: 

Duties    of    medical    superinteudents    and 
surgeons,  381. 

Medical   superintendents   to  report  Medi- 
cal Department  personnel  on,  424. 

Seamen  of,  in  hospital,  250. 

Surgeons,  ports  of  embarkation,  as  medi- 
cal superintendents  of,  610. 
Travrlingr  Expenses: 

See  Expenses-,  Traveling. 
Trial  Lenses,  Case  of: 

Contents  of,  926. 
Troop  Trains: 

Sanitary  inspection  of,  590. 
Tnherculin : 

Use  of,  334. 
Tubercnlosis : 

Treatment  of,  at  Fort  Bayard,  334. 
Typewriters : 

Packing  of,  524. 

Ribbons,  requisitions  for,  845  note. 
Typhoid  Fever: 

Bile  medium  for  cultures,  191,  352. 

Blood  for  diagnosis,  184. 

Care  of,   184,   185. 

Diagnosis  from  paratyphoid,  190. 

Release  of  cases,  185. 

Reports  of  cases,  189,  201  to  203. 

Vaccinations  for,  88,  186  to  188. 

See  also  Vaccination. 
Urine : 

For  diagnostic  purposes,  191,  352. 
Vaccination,  Antismallpox. 

At  concentration  camps,  599. 

At  mobilization  camps,  594. 

Civilians,  192. 

Enlisted  men,  192. 

Method  of  performing,   194. 

Nurses,  88. 

Officers,    192. 

Records  of,  193.  594. 
Vaccination,  Antityphoid: 

At  concentration  camps,  599. 

At  mobilization  camps,  594. 
/    Civilian  employees,  186. 

Enlisted  men,  186. 

Method  of  administration,  186. 

Nurses,  88. 

Officers,   186. 

Records  of,   187,   188,  594. 

See  also  Typhoid  Fever. 
Vaccines : 

Requisitions  for,  843  note. 
Valuables  of  Patients: 

Provisions    concerning,   221    to   226,   279, 
293,   301,   303. 
Venereal  Diseases: 

Care  of,  198. 

Daily  sick  report,  marking  of,  207. 

Inspections  to  detect,  198. 

List  of  cases  to  be  kept,  198. 

Orders  concerning,  198. 

Records   of,   198,   199,   200. 

Syphilitic  register,  200. 


Venereal  Prophylaxis  Cnlt; 

Couteuts  of,   95S. 
Vision: 

Examinations   of,    .397. 

Record  of  errors  of,  on   register   of   pa- 
tients, 456. 
Vision  Test  Set: 

Contents  of,  959. 
Voluntary  Aid: 

Individual,  153,  537,  541. 

Organized,  153,  535,  5.36. 
Volunteer  Medical  Officers: 

Appointment    of,    14. 
Volunteers : 

Physical    examinations    for    commissions 
in,  385. 

Use  of,  in  war,  587. 
Von  Pirqnet  Reaction: 

Use  of,  334. 
Vouchers : 

For  hospital  laundry,  271,  272,  274,  277, 
278. 

For  purchases,  878,  476. 

Seamen,    Transport    Service,    subsistence 
of,  250. 
Wardmasters : 

Duties,  general,  279. 

Duty,  to  list  effects  of  patients,  221. 

See  also  Hospital  Rules. 
Ward  DIorning  Reports: 

Provisions  concerning,   210,  211. 
Wards : 

In  general  hospitals,  308  to  310. 

See  also  Hospital  Rules. 
Watchmen : 

Duties  of,   279,   305,  306. 

Employment  of,    103,  108,   113. 

In  general   hospitals,   305,  306. 
Water,  Examination  of: 

Bacteriological,  358. 

Chemical,   359. 

Collection  of,  356  to  359. 

Reports  concerning,   356,   360. 
Water  Supply: 

Inspection  of,  on  trains  for  troops,   590. 

Supervision  of,  by  sanitary  detachments, 
6.34. 
AVeiphts  and  Measures: 

Metric    system    to    be    used   on    prescrip- 
tions,  240. 

Su|)ply  tables  to  l)e  followed,  475. 
Window  Shades  and  Fixtures: 

Requisitions  for,  845  note. 
Wounded : 

See  jS'icfc  and  Wounded. 
Wounds : 

Record   of,    on   register  of   patients,   446, 
455,  456. 
Zone  of  the  Adrance: 

Classification  of  the  sanitary  service  of, 
630. 

Description  of,  529. 

Mission  of  the  sanitary  service  of,  628. 

Replenishment   of   supplies,    858. 
Zone  of  the  Line  of  Communications: 

See   Line   of   Communications. 


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